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HHSC - KAUAI REGION CLINICS URGENT CARE AT POIPU
NPI 1033705074
Clinic/Center - Rural Health in Koloa, HI

Active since December 14, 2020CLIA 12D2219111 · Microscopy
2829 ALA KALANI KAUMAKA ST STE B-201, KOLOA, HI 96756(808) 742-0999(808) 742-0990 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2024, Jan 29, 2021, Dec 14, 2020 (3 updates tracked since 2020).

About Hhsc - Kauai Region Clinics Urgent Care At Poipu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HHSC - KAUAI REGION CLINICS URGENT CARE AT POIPU (NPI 1033705074) is a healthcare organization registered as a rural health in Koloa, Hawaii and active in the NPI registry since December 2020. The organization holds a CLIA Microscopy certificate valid through March 31, 2027 and lists Christine Marie Asato, Regional Cfo, as its authorized official.

NPPES Registry Identity

NPI1033705074
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSAMUEL MAHELONA MEMORIAL HOSPITAL
Location Address2829 ALA KALANI KAUMAKA ST STE B-201Koloa, HI 96756-7549
Mailing AddressPo Box 337Waimea, HI 96796-0337 · (808) 338-9431 · Fax (808) 338-9420
Phone(808) 742-0999
Fax(808) 742-0990
Organization SubpartYes
Authorized OfficialChristine Marie AsatoRegional Cfo · (808) 338-9407
Enumeration DateDecember 14, 2020
Last NPPES UpdateMay 1, 20243 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1033705074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
2829 ALA KALANI KAUMAKA ST STE B-201, Koloa, HI 96756
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Other Names 1

Doing Business AsHhsc - Kauai Region Clinics Urgent Care At Poipu

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hhsc - Kauai Region Clinics Urgent Care At Poipu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

66

Medicare enrollment records show 66 clinicians reassign Medicare billing to Hhsc - Kauai Region Clinics Urgent Care At Poipu, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Diagnostic Radiology10
Nurse Practitioner8
Family Practice6
Internal Medicine6
Hospitalist5
Emergency Medicine4
General Surgery4
Obstetrics/Gynecology4
12 other specialties19

Nearest to this location (20)

See all 66
Holly Poag, D.O.
Emergency Medicine
NPI 1376755330
2829 ALA KALANIKAUMAKA ST. STE.B201
Koloa, HI 96756
(808) 742-0999
✔ PECOS✔ Accepts MedicareSame address
Scott Ross, MD
Family Practice
NPI 1720055023
2829 ALA KALANIKAUMAKA ST. STE. B201
Koloa, HI 96756
(808) 742-0990
✔ PECOS✔ Accepts MedicareSame address
Mary Paul, M.D.
Internal Medicine
NPI 1285639971
4489 PAPALINA ROAD
Kalaheo, HI 96741
(808) 332-8523
✔ PECOS✔ Accepts Medicare4.7 mi
Charles Jenkins, M.D.
Internal Medicine
NPI 1548292543
4469 WAIALO RD
Eleele, HI 96705
(808) 335-0579
✔ PECOS✔ Accepts Medicare7.6 mi
Kanayo Sakai, NP
Nurse Practitioner
NPI 1790222677
4463 PAHEE ST STE 206
Lihue, HI 96766
(808) 241-5799
✔ PECOS✔ Accepts Medicare8.1 mi
Kaoru Sakiyama, NP
Nurse Practitioner
NPI 1871061861
4463 PAHEE ST. HANA KUKUI CENTER SUITE 206
Lihue, HI 96766
(808) 241-5799
✔ PECOS✔ Accepts Medicare8.1 mi
Reese Dare, M.D.
Emergency Medicine
NPI 1144753427
4484 PAHEE ST
Lihue, HI 96766
(808) 245-1532
✔ PECOS✔ Accepts Medicare8.1 mi
Lani Mckenna, LCSW
Clinical Social Worker
NPI 1871353854
2850 KAPENA ST
Lihue, HI 96766
(808) 635-9147
✔ PECOS✔ Accepts Medicare9.0 mi
Ronald Fujimoto, D.O.
Family Practice
NPI 1962407668
3-3295 KUHIO HWY
Lihue, HI 96766
(808) 245-8874
✔ PECOS✔ Accepts Medicare9.4 mi
Allen Johnson, M.D.
Diagnostic Radiology
NPI 1134224686
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1295
✔ PECOS✔ Accepts Medicare9.7 mi
Jennifer Andrade, APRN
Nurse Practitioner
NPI 1982318770
3-3420 KUHIO HWY
Lihue, HI 96766
(808) 245-1504
✔ PECOS✔ Accepts Medicare9.8 mi
John Funai, M.D.
Cardiovascular Disease (Cardiology)
NPI 1710082912
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1548
✔ PECOS✔ Accepts Medicare9.8 mi
Amy Rodriguez, M.D.
General Surgery
NPI 1649592098
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1500
✔ PECOS✔ Accepts Medicare9.8 mi
Cynthia Horton, MD
Family Practice
NPI 1558353920
4346 WAIMEA CANYON DRIVE
Waimea, HI 96796
(808) 338-9431
✔ PECOS✔ Accepts Medicare14 mi
Elisabeth Biuk-Aghai, M.D.
General Surgery
NPI 1740357938
4643-B WAIMEA CANYON DRIVE
Waimea, HI 96796
(808) 338-8311
✔ PECOS✔ Accepts Medicare14 mi
Surachat Chatkupt, M.D.
Obstetrics/Gynecology
NPI 1407888977
4643B WAIMEA CANYON DRIVE
Waimea, HI 96796
(808) 338-8311
✔ PECOS✔ Accepts Medicare14 mi
Beverly Tumbaga, APRN
Nurse Practitioner
NPI 1275964223
4643 WAIMEA CANYON DR.
Waimea, HI 96796
(180) 833-8831
✔ PECOS✔ Accepts Medicare14 mi
Douglas Ching, M.D.
Orthopedic Surgery
NPI 1083777932
4643 WAIMEA CANYON DR STE B
Waimea, HI 96796
(808) 338-8311
✔ PECOS✔ Accepts Medicare14 mi
Stephen Coleman, M.D.
Gastroenterology
NPI 1952368987
4643 WAIMEA CANYON RD. STE. B
Waimea, HI 96796
(808) 338-8311
✔ PECOS✔ Accepts Medicare14 mi
Brian Newman, DO
Internal Medicine
NPI 1649631193
4643 WAIMEA CANYON DR
Waimea, HI 96796
(808) 338-9431
✔ PECOS✔ Accepts Medicare14 mi
See all 66 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 12D2219111

Hhsc Kauai Region Clinics Urgent Care At Poipu · Koloa, HI
Active · expires Mar 31, 2027
CLIA Number12D2219111
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Holly Poag
Laboratory Phone(808) 742-0999
Laboratory LocationHhsc Kauai Region Clinics Urgent Care At Poipu2829 Ala Kalanikaumaka St B-201, Unit B, Koloa, HI 96756
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Samuel Mahelona Memorial Hospital's NPI number?

The NPI number for Samuel Mahelona Memorial Hospital is 1033705074. It was assigned to this organization in the NPPES registry on December 14, 2020. The provider is doing business as Hhsc - Kauai Region Clinics Urgent Care At Poipu.

Where is Samuel Mahelona Memorial Hospital located?

Samuel Mahelona Memorial Hospital is located at 2829 Ala Kalani Kaumaka St Ste B-201, Koloa, HI 96756. The listed phone number is (808) 742-0999.

What is Samuel Mahelona Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Samuel Mahelona Memorial Hospital enrolled in Medicare?

Yes. Samuel Mahelona Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samuel Mahelona Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 66 clinicians in 20 Medicare specialties reassign their Medicare billing to Samuel Mahelona Memorial Hospital. 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. The largest specialties are Diagnostic Radiology (10), Nurse Practitioner (8) and Family Practice (6). Of these, 2 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Samuel Mahelona Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D2219111) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Samuel Mahelona Memorial Hospital accept?

Health plans from HMSA list Samuel Mahelona Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Mahelona Memorial Hospital was last updated on May 1, 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.