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MAUI UROLOGY, LLC
NPI 1073179669
Urology in Wailuku, HI

Active since May 19, 2019CLIA 12D2163494 · Waiver
1883 MILL ST, WAILUKU, HI 96793(808) 242-8765(808) 242-8769 Get Directions Write a Review

NPPES record last updated: May 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maui Urology, Llc NPPES

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

MAUI UROLOGY, LLC (NPI 1073179669) is a healthcare organization registered as an urology in Wailuku, Hawaii and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through March 13, 2027, maintains a secondary practice location in Wailuku, and lists Stephanie Carlsen, Acting Administrator, as its authorized official.

NPPES Registry Identity

NPI1073179669
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameMAUI UROLOGY, LLC
Location Address1883 MILL STWailuku, HI 96793-1236
Mailing Address1883 Mill StWailuku, HI 96793-1236 · (808) 242-8765 · Fax (808) 242-9876
Phone(808) 242-8765
Fax(808) 242-8769
Organization SubpartNo
Authorized OfficialStephanie CarlsenActing Administrator · (808) 242-8765
Enumeration DateMay 19, 2019
✔ NPI 1073179669 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.
1883 MILL ST, Wailuku, HI 96793
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Secondary Practice Location 1

Location 171 Kanoa St Ste 201Wailuku, HI 96793-5816 · Phone (808) 242-8765 ext. 104 · Fax (808) 242-8769

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

Accepted Insurance

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

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 of Waiver 12D2163494

Maui Urology, LLC · Wailuku, HI
Active · expires Mar 13, 2027
CLIA Number12D2163494
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorDr. Soren N. Carlsen
Laboratory Phone(808) 242-8765
Laboratory LocationMaui Urology, LLC1883 Mill St, Suite A, Wailuku, HI 96793
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. JANE KOCIVAR M.D.
Specialist
1883 MILL ST
WAILUKU, HI 96793
Maui County (808) 244-7032
LINDSAY BANNON LEGGETT PA-C
Physician Assistant
1883 MILL ST
WAILUKU, HI 96793
Maui County (808) 242-8765
ALICIA ROSTON MD
Urology
1883 MILL ST
WAILUKU, HI 96793
Maui County (808) 242-8765

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 Maui Urology, LLC's NPI number?

The NPI number for Maui Urology, LLC is 1073179669. It was assigned to this organization in the NPPES registry on May 19, 2019.

Where is Maui Urology, LLC located?

Maui Urology, LLC is located at 1883 Mill St, Wailuku, HI 96793. The listed phone number is (808) 242-8765.

What is Maui Urology, LLC's specialty?

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

Does Maui Urology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2163494) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maui Urology, LLC accept?

Health plans from HMSA list Maui Urology, LLC 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 Maui Urology, LLC was last updated on May 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.