PANIOLO PEDIATRIC AND FAMILY MEDICINE INC
NPI 1053812990
Pediatrics in Kamuela, HI
About Paniolo Pediatric And Family Medicine Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PANIOLO PEDIATRIC AND FAMILY MEDICINE INC (NPI 1053812990) is a healthcare organization registered as a pediatrics in Kamuela, Hawaii and active in the NPI registry since February 2018. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Kailua Kona, and lists Brett C. Ferguson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted 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)
Paniolo Pediatric And Family Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Paniolo Pediatric And Family Medicine Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 3
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 12D2097582
Paniolo Pediatric And Family Medicine, Inc · Kamuela, HICertificate of Waiver 12D2120235
Paniolo Pediatric And Family Medicine, Inc · Kailua Kona, HICertificate of Waiver 12D2165270
Paniolo Pediatric And Family Medicine, Inc · Kamuela, HIFrequently 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 Paniolo Pediatric And Family Medicine Inc's NPI number?
The NPI number for Paniolo Pediatric And Family Medicine Inc is 1053812990. It was assigned to this organization in the NPPES registry on February 26, 2018.
Where is Paniolo Pediatric And Family Medicine Inc located?
Paniolo Pediatric And Family Medicine Inc is located at 64-1032 Mamalahoa Hwy Ste 204, Kamuela, HI 96743. The listed phone number is (808) 887-6543.
What is Paniolo Pediatric And Family Medicine Inc's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Paniolo Pediatric And Family Medicine Inc enrolled in Medicare?
Yes. Paniolo Pediatric And Family Medicine Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Paniolo Pediatric And Family Medicine Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Paniolo Pediatric And Family Medicine 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 Pediatric Medicine (5), Nurse Practitioner (3) and Family Practice (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Paniolo Pediatric And Family Medicine Inc hold CLIA laboratory certificates?
Yes. 3 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.
What insurance does Paniolo Pediatric And Family Medicine Inc accept?
Health plans from HMSA list Paniolo Pediatric And Family Medicine Inc 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 Paniolo Pediatric And Family Medicine Inc was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Paniolo Pediatric And Family Medicine Inc · NPI 1053812990
Pediatrics organization in Kamuela, Hawaii. Organization record, active in the CMS NPPES registry since February 26, 2018.
## Identity
- **NPI:** 1053812990 (Entity type: Organization)
- **Enumerated:** February 26, 2018
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Brett Ferguson, PRESIDENT
## Practice location
- **Address:** 64-1032 MAMALAHOA HWY STE 204, Kamuela, HI 96743-8441
- **Phone:** (808) 887-6543 · **Fax:** (808) 887-6294
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (5), Nurse Practitioner (3), Family Practice (1); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2018
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053812990) · Data from the CMS NPPES public registry.