NPIMap

Organization Active NPI

Trade Winds Family Medicine, LLC

  • Clinic/Center
  • Kailua, HI
National Provider Identifier
1851529580
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DOS-856 Issued in HI
Legal business name
TRADE WINDS FAMILY MEDICINE, LLC
Practice address
970 N Kalaheo Ave
Ste. C-306
Kailua, HI 96734-1866
Phone
(808) 263-7383
NPI assigned
Jul 1, 2009
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kimberly Kay McCauley Lund, D.O.NPI 1831315951
Title
Medical Director
Phone
(808) 372-2420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Clinic/Center 261Q00000X DOS-856 HI Primary

Addresses

Primary practice location

970 N Kalaheo Ave
Ste. C-306
Kailua, HI 96734-1866

Mailing address

970 N Kalaheo Ave
Ste. C-306
Kailua, HI 96734-1866
Phone (808) 263-7383

Other identifiers 1

IdentifierTypeStateIssuer
56992301MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091016000115 HI Part B Supplier - Clinic/Group Practice 2860539269 Receives reassigned benefits from 10 practitioners
Practice locations: Kailua, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2002199Trade Winds Family Medicine970 N Kalaheo Ave Suite C-306, Kailua, HI 96734Provider-performed microscopyJan 7, 2028

National Provider Directory

National Provider Directory

Locations

970 N Kalaheo Ave
Ste C306
Kailua, HI 96734
Phone (808) 263-7383

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGDDBA

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1851529580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE",
            "address_2": "STE. C-306",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341866",
            "telephone_number": "808-263-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE",
            "address_2": "STE. C-306",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341866",
            "telephone_number": "808-263-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADE WINDS FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAY MCCAULEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "808-372-2420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": "DOS-856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56992301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.