Individual provider Active NPI

James Clifford Gilley, DPM

  • Podiatrist
  • Kamuela, HI
National Provider Identifier
1881602787
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
213 Issued in HI
Practice address
64-1032 Mamalahoa Hwy
#306
Kamuela, HI 96743
Phone
(808) 769-5010
Fax
(808) 829-3603
NPI assigned
Aug 4, 2006
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM0000000629 TN
Podiatrist 213E00000X 213 HI Primary

Addresses

Primary practice location

64-1032 Mamalahoa Hwy
#306
Kamuela, HI 96743

Mailing address

64-1032 Mamalahoa Hwy
#306
Kamuela, HI 96743
Phone (808) 769-5010

Other identifiers 1

IdentifierTypeStateIssuer
808785MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170130001666 HI Practitioner - Podiatry 2365414125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duerler IncGroup PAC ID 2062680861, 8 clinicians

Practice addresses (Care Compare)

64-1032 Mamalahoa Hwy 306
Kamuela, HI 96743-8441
Phone (808) 769-5010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
12.5 of 100Reported as individual
Quality
25
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions411
Removal of nail tissue300
Removal or shaving of skin growth49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM0000000629TNMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Duerler, Inc. CurrentSince Feb 1, 2017 Accepting new patients

Locations

64-1032 Mamalahoa Hwy
Ste 306
Kamuela, HI 96743
Phone (808) 769-5010

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1881602787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-1032 MAMALAHOA HWY",
            "address_2": "#306",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "96743",
            "telephone_number": "808-769-5010",
            "fax_number": "808-829-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1032 MAMALAHOA HWY",
            "address_2": "#306",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "96743",
            "telephone_number": "808-769-5010",
            "fax_number": "808-829-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "JAMES",
        "middle_name": "CLIFFORD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM0000000629",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "HI",
            "license": "213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808785",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.