MALAMA I KE OLA HEALTH CENTER
NPI 1053564526
Clinic/Center - Community Health in Lahaina, HI

Active since October 28, 2008CLIA 12D0874244 · Microscopy
15 IPU AUMAKUA LN, LAHAINA, HI 96761(808) 667-7598(808) 667-7492 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 12, 2024, Jul 9, 2018 (2 updates tracked since 2018).

About Malama I Ke Ola Health Center NPPES

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

MALAMA I KE OLA HEALTH CENTER (NPI 1053564526) is a healthcare organization registered as a community health in Lahaina, Hawaii and active in the NPI registry since October 2008. The organization holds a CLIA Microscopy certificate valid through August 4, 2027 and lists Betty Jane Ott, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1053564526
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCOMMUNITY CLINIC OF MAUI INC
Location Address15 IPU AUMAKUA LNLahaina, HI 96761
Mailing Address1881 Nani StreetWailuku, HI 96793-1811 · (808) 667-7598 · Fax (808) 667-7492
Fax(808) 667-7492
Organization SubpartNo
Authorized OfficialBetty Jane OttChief Executive Officer · (808) 872-4018
Enumeration DateOctober 28, 2008
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1053564526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
15 IPU AUMAKUA LN, Lahaina, HI 96761

Other Names 1

Doing Business AsMalama I Ke Ola Health Center

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malama I Ke Ola Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

34

Medicare enrollment records show 34 clinicians reassign Medicare billing to Malama I Ke Ola Health Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Obstetrics/Gynecology11
Pediatric Medicine6
Nurse Practitioner4
Dentist3
Family Practice3
Internal Medicine2
Certified Nurse Midwife (CNM)1
Clinical Social Worker1
3 other specialties3

Nearest to this location (20)

See all 34
Nurse Practitioner
NPI 1245818954
2180 MAIN ST
Wailuku, HI 96793
(808) 242-6464
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1174016372
2180 MAIN ST
Wailuku, HI 96793
(808) 242-6464
✔ PECOS✔ Accepts Medicare11 mi
Clinical Social Worker
NPI 1972066710
1881 NANI STREET
Wailuku, HI 96793
(808) 871-7772
✔ PECOS✔ Accepts Medicare11 mi
Pediatric Medicine
NPI 1447471743
1881 NANI ST
Wailuku, HI 96793
(808) 871-7772
✔ PECOS11 mi
Obstetrics/Gynecology
NPI 1689242828
1881 NANI ST
Wailuku, HI 96793
(505) 320-9282
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1265528673
1881 NANI ST
Wailuku, HI 96793
(808) 871-7772
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1194923961
1881 NANI ST
Wailuku, HI 96793
(808) 871-7772
✔ PECOS✔ Accepts Medicare11 mi
Pediatric Medicine
NPI 1528370558
1881 NANI ST
Wailuku, HI 96793
(808) 871-7772
✔ PECOS11 mi
Family Practice
NPI 1295881332
1881 NANI STREET
Wailuku, HI 96793
(808) 871-7772
✔ PECOS✔ Accepts Medicare11 mi
Pediatric Medicine
NPI 1477842060
1881 NANI ST
Wailuku, HI 96793
(913) 620-1110
✔ PECOS11 mi
Internal Medicine
NPI 1952556201
1881 NANI ST
Wailuku, HI 96793
(808) 871-7772
✔ PECOS✔ Accepts Medicare11 mi
Pediatric Medicine
NPI 1528082708
1881 NANI ST
Wailuku, HI 96793
(808) 871-7772
✔ PECOS11 mi
Obstetrics/Gynecology
NPI 1043257926
1881 NANI ST
Wailuku, HI 96793
(808) 871-7772
✔ PECOS✔ Accepts Medicare11 mi
Obstetrics/Gynecology
NPI 1437492279
1881 NANI ST
Wailuku, HI 96793
(808) 871-7772
✔ PECOS✔ Accepts Medicare11 mi
Obstetrics/Gynecology
NPI 1679929962
1881 NANI ST
Wailuku, HI 96793
(808) 871-7772
✔ PECOS✔ Accepts Medicare11 mi
Certified Nurse Midwife (CNM)
NPI 1154872273
1881 NANI ST
Wailuku, HI 96793
(808) 872-4009
✔ PECOS✔ Accepts Medicare11 mi
Dentist
NPI 1356461610
1881 NANI STREET
Wailuku, HI 96793
(808) 442-6803
✔ PECOS11 mi
Obstetrics/Gynecology
NPI 1558744177
165 MAA ST
Kahului, HI 96732
(808) 446-7120
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1275997025
85 MAUI LANI PKWY
Wailuku, HI 96793
(808) 244-5366
✔ PECOS✔ Accepts Medicare12 mi
Obstetrics/Gynecology
NPI 1396150850
1319 PUNAHOU ST STE 824
Honolulu, HI 96826
(808) 203-6532
✔ PECOS✔ Accepts Medicare81 mi
See all 34 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) 12D0874244

Community Clinic Of Maui Inc Dba Malama I Ke Ola Health Center · Wailuku, HI
Active · expires Aug 4, 2027
CLIA Number12D0874244
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorJohn R. Vaz
Laboratory Phone(808) 872-4040
Laboratory LocationCommunity Clinic Of Maui Inc Dba Malama I Ke Ola Health Center1881 Nani St, Wailuku, HI 96793
CLIA data matches this NPI record on: Address Name
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 Community Clinic Of Maui Inc's NPI number?

The NPI number for Community Clinic Of Maui Inc is 1053564526. It was assigned to this organization in the NPPES registry on October 28, 2008. The provider is doing business as Malama I Ke Ola Health Center.

Where is Community Clinic Of Maui Inc located?

Community Clinic Of Maui Inc is located at 15 Ipu Aumakua Ln, Lahaina, HI 96761. The listed phone number is (808) 667-7598.

What is Community Clinic Of Maui Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Community Clinic Of Maui Inc enrolled in Medicare?

Yes. Community Clinic Of Maui Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Clinic Of Maui Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 11 Medicare specialties reassign their Medicare billing to Community Clinic Of Maui Inc. 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 Obstetrics/Gynecology (11), Pediatric Medicine (6) and Nurse Practitioner (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Community Clinic Of Maui Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D0874244) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Clinic Of Maui Inc was last updated on April 12, 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.