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ISLAND UROLOGY HILO LLC
NPI 1053592147
Urology in Hilo, HI

Active since November 17, 2007CLIA Certified · 2 labs
670 PONAHAWAI ST, SUITE 118, HILO, HI 96720(808) 961-0151(808) 961-5993 Get Directions Write a Review

NPPES record last updated: November 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Island Urology Hilo Llc NPPES

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

ISLAND UROLOGY HILO LLC (NPI 1053592147) is a healthcare organization registered as an urology in Hilo, Hawaii and active in the NPI registry since November 2007. The organization holds 2 active CLIA laboratory certificates and lists Marilynn Y Hata, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053592147
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameISLAND UROLOGY HILO LLC
Location Address670 PONAHAWAI ST, SUITE 118Hilo, HI 96720-2660
Mailing Address1329 Lusitana St, Suite 602Honolulu, HI 96813-2429 · (808) 522-5055 · Fax (808) 522-5333
Phone(808) 961-0151
Fax(808) 961-5993
Organization SubpartNo
Authorized OfficialMarilynn Y HataAdministrator · (808) 522-5055
Enumeration DateNovember 17, 2007
✔ NPI 1053592147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
670 PONAHAWAI ST, Hilo, HI 96720
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 of Waiver 12D2098373

Island Urology Oahu LLC · Hilo, HI
Active · expires Jul 5, 2027
CLIA Number12D2098373
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorSergei Tikhonenkov
Laboratory Phone(808) 536-2306
Laboratory LocationIsland Urology Oahu LLC670 Ponahawai St Ste 217, Hilo, HI 96720
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 12D2086052

Island Urology Oahu LLC · Honolulu, HI
Active · expires Jun 2, 2027
CLIA Number12D2086052
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorSergei Tikhonenkov
Laboratory Phone(808) 536-2306
Laboratory LocationIsland Urology Oahu LLC1329 Lusitana St Suite 706, Honolulu, HI 96813
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FREDERICK ALAN NITTA M.D.
Obstetrics & Gynecology
670 PONAHAWAI ST, SUITE 200
HILO, HI 96720
Hawaii County (808) 961-5922
MELANIE R ARAKAKI MD
Family Medicine
670 PONAHAWAI ST, STE 216 HILO FAMILY MEDICINE
HILO, HI 96720
Hawaii County (808) 934-8989
ROBERT D IRVINE, MD, INC
Clinic/Center (Medical Specialty)
670 PONAHAWAI ST, STE 115
HILO, HI 96720
Hawaii County (808) 935-5465
DR. PETER ARNOLD MATSUURA M.D.
Orthopaedic Surgery
670 PONAHAWAI ST, SUITE 214
HILO, HI 96720
Hawaii County (808) 969-3331
CLINICAL PHARMACY CONSULTANTS
Pharmacy (Community/Retail Pharmacy)
670 PONAHAWAI ST, SUITE 213
HILO, HI 96720
Hawaii County (808) 933-8555
J NOHEA KAAWALOA MD INC
Family Medicine
670 PONAHAWAI ST, SUITE 220
HILO, HI 96720
Hawaii County (808) 933-1120
JOHN F. PAOPAO, M.D., INC.
Specialist
670 PONAHAWAI ST
HILO, HI 96720
Hawaii County (808) 961-2808
DR. MICHAEL JT SEU MD
Radiology (Diagnostic Radiology)
670 PONAHAWAI ST, #110
HILO, HI 96720
Hawaii County (808) 933-2540

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 Island Urology Hilo LLC's NPI number?

The NPI number for Island Urology Hilo LLC is 1053592147. It was assigned to this organization in the NPPES registry on November 17, 2007.

Where is Island Urology Hilo LLC located?

Island Urology Hilo LLC is located at 670 Ponahawai St Suite 118, Hilo, HI 96720. The listed phone number is (808) 961-0151.

What is Island Urology Hilo LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Island Urology Hilo LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Island Urology Hilo LLC was last updated on November 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.