STATE OF HAWAII DEPARTMENT OF HEALTH
NPI 1104009091
Community/Behavioral Health in Lahaina, HI
About State Of Hawaii Department Of Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE OF HAWAII DEPARTMENT OF HEALTH (NPI 1104009091) is a healthcare organization registered as a community/behavioral health in Lahaina, Hawaii and active in the NPI registry since December 2007. The organization lists Troy Alan Freitas, Branch Chief, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
State Of Hawaii Department Of Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to State Of Hawaii Department Of Health, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 25Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 State Of Hawaii Department Of Health's NPI number?
The NPI number for State Of Hawaii Department Of Health is 1104009091. It was assigned to this organization in the NPPES registry on December 13, 2007.
Where is State Of Hawaii Department Of Health located?
State Of Hawaii Department Of Health is located at 1830 Hooapiilani Highway, Lahaina, HI 96761. The listed phone number is (808) 984-2150.
What is State Of Hawaii Department Of Health's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is State Of Hawaii Department Of Health enrolled in Medicare?
Yes. State Of Hawaii Department Of Health is registered in the Medicare PECOS enrollment system.
When is State Of Hawaii Department Of Health's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through State Of Hawaii Department Of Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 5 Medicare specialties reassign their Medicare billing to State Of Hawaii Department Of Health. 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 Psychiatry (14), Clinical Psychologist (5) and Clinical Social Worker (3). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for State Of Hawaii Department Of Health was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.
# State Of Hawaii Department Of Health · NPI 1104009091
Community/Behavioral Health organization in Lahaina, Hawaii. Organization record, active in the CMS NPPES registry since December 13, 2007.
## Identity
- **NPI:** 1104009091 (Entity type: Organization)
- **Enumerated:** December 13, 2007
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Troy Freitas, BRANCH CHIEF
## Practice location
- **Address:** 1830 HOOAPIILANI HIGHWAY, Lahaina, HI 96761
- **Phone:** (808) 984-2150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Hawaii, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 25 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (14), Clinical Psychologist (5), Clinical Social Worker (3); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1104009091/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104009091) · Data from the CMS NPPES public registry.