MAHALO DOCTOR LLC
NPI 1013764208
Internal Medicine in Honolulu, HI
About Mahalo Doctor Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAHALO DOCTOR LLC (NPI 1013764208) is a healthcare organization registered as an internal medicine in Honolulu, Hawaii and active in the NPI registry since May 2024. The organization lists Mary Lan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mahalo Doctor Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mahalo Doctor LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Tripler Army Medical Center, HI 96859
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mahalo Doctor LLC's NPI number?
The NPI number for Mahalo Doctor LLC is 1013764208. It was assigned to this organization in the NPPES registry on May 4, 2024.
Where is Mahalo Doctor LLC located?
Mahalo Doctor LLC is located at 1301 Punchbowl St, Honolulu, HI 96813. The listed phone number is (415) 314-0699.
What is Mahalo Doctor LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mahalo Doctor LLC enrolled in Medicare?
Yes. Mahalo Doctor LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mahalo Doctor LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mahalo Doctor LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mahalo Doctor LLC was last updated on May 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mahalo Doctor Llc · NPI 1013764208
Internal Medicine organization in Honolulu, Hawaii. Organization record, active in the CMS NPPES registry since May 4, 2024.
## Identity
- **NPI:** 1013764208 (Entity type: Organization)
- **Enumerated:** May 4, 2024
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Mary Lan, OWNER
## Practice location
- **Address:** 1301 PUNCHBOWL ST, Honolulu, HI 96813-2402
- **Phone:** (415) 314-0699
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1013764208) · Data from the CMS NPPES public registry.