PRIMARY CARE PHYSICIAN ENTERPRISE LLC
Medicare Clinicians for NPI 1164054763
Clinic/Center in Ewa Beach, HI

Active since February 11, 2020
91-6390 KAPOLEI PKWY, EWA BEACH, HI 96706(808) 691-4600 Get Directions

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, May 7, 2020, Mar 4, 2020 and 1 more (4 updates tracked since 2020).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Primary Care Physician Enterprise LLC in Ewa Beach, HI bills Medicare for 40 clinicians across 8 Medicare specialties. The largest specialties are Obstetrics/Gynecology with 9, Registered Dietitian or Nutrition Professional with 9 and Nurse Practitioner with 6. Of these, 7 practice at this address and 10 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

40Clinicians
8Medicare specialties
31PECOS enrolled
24Accept Medicare
40 clinicians in 8 specialties

Obstetrics/Gynecology (9)

Obstetrics/Gynecology
NPI 1003305749
91-6390 KAPOLEI PKWY STE 200
Ewa Beach, HI 96706
(808) 691-8200
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1124234331
321 N KUAKINI ST SUITE 201
Honolulu, HI 96817
(808) 523-8611
✔ PECOS✔ Accepts Medicare11 mi
Obstetrics/Gynecology
NPI 1225126733
321 N KUAKINI ST STE 201
Honolulu, HI 96817
(808) 523-8611
✔ PECOS✔ Accepts Medicare11 mi
Obstetrics/Gynecology
NPI 1265602593
550 S BERETANIA ST STE 610
Honolulu, HI 96813
(808) 218-7900
✔ PECOS✔ Accepts Medicare11 mi
Obstetrics/Gynecology
NPI 1407470560
1380 LUSITANA ST STE 1004
Honolulu, HI 96813
(808) 686-4690
✔ PECOS✔ Accepts Medicare11 mi
Obstetrics/Gynecology
NPI 1679812531
1380 LUSITANA ST STE 1004
Honolulu, HI 96813
(808) 686-4690
✔ PECOS✔ Accepts Medicare11 mi
Obstetrics/Gynecology
NPI 1558850206
1441 KAPIOLANI BLVD STE 1810
Honolulu, HI 96814
(808) 686-4150
✔ PECOS✔ Accepts Medicare12 mi
Obstetrics/Gynecology
NPI 1114508702
10833 LE CONTE AVE # CHS27139
Los Angeles, CA 90095
(310) 825-9945
✔ PECOS✔ Accepts Medicare2,561 mi
Obstetrics/Gynecology
NPI 1609301100
1307 FEDERAL ST STE B201
Pittsburgh, PA 15212
(208) 860-6561
✔ PECOS✔ Accepts Medicare4,669 mi

Registered Dietitian or Nutrition Professional (9)

Registered Dietitian or Nutrition Professional
NPI 1881422699
200 N VINEYARD BLVD STE A325
Honolulu, HI 96817
(808) 371-4523
11 mi
Registered Dietitian or Nutrition Professional
NPI 1902645088
1380 LUSITANA ST STE 300
Honolulu, HI 96813
(808) 691-7546
11 mi
Registered Dietitian or Nutrition Professional
NPI 1457801094
1380 LUSITANA ST STE 300
Honolulu, HI 96813
(808) 691-7546
✔ Accepts Medicare11 mi
Registered Dietitian or Nutrition Professional
NPI 1518541234
44-155 LAHA ST APT 5
Kaneohe, HI 96744
(808) 721-6095
18 mi
Registered Dietitian or Nutrition Professional
NPI 1720619646
3600 NW SAMARITAN DR
Corvallis, OR 97330
(541) 768-4663
2,547 mi
Registered Dietitian or Nutrition Professional
NPI 1992419352
20325 N 51ST AVE BLDG 4, SUITE 126
Glendale, AZ 85308
(602) 341-5248
✔ Accepts Medicare2,915 mi
Registered Dietitian or Nutrition Professional
NPI 1528711389
3417 GASTON AVE STE 965
Dallas, TX 75246
(972) 817-6050
3,806 mi
Registered Dietitian or Nutrition Professional
NPI 1457092827
6750 IROQUOIS TRL STE 12
Allentown, PA 18104
(610) 395-9595
✔ Accepts Medicare4,896 mi
Registered Dietitian or Nutrition Professional
NPI 1275905853
253 MAIN ST
Yarmouth, ME 04096
(207) 387-1590
5,115 mi

Nurse Practitioner (6)

Nurse Practitioner
NPI 1871069849
91-6390 KAPOLEI PKWY, SUITE 200
Ewa Beach, HI 96706
(808) 691-8200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215511076
91-3411 KIKI ST
Ewa Beach, HI 96706
(808) 345-9333
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1396995775
459 PATTERSON RD
Honolulu, HI 96819
(800) 214-1306
✔ PECOS✔ Accepts Medicare9.1 mi
Nurse Practitioner
NPI 1891395034
405 N KUAKINI ST STE 601
Honolulu, HI 96817
(808) 686-4655
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1992006217
1345 S. BERETANIA ST
Honolulu, HI 96814
(808) 744-2543
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1245679711
2 N ZACK HINTON PKWY
Mcdonough, GA 30253
(707) 957-2984
✔ PECOS4,527 mi

Pediatric Medicine (6)

Pediatric Medicine
NPI 1215370663
91-6390 KAPOLEI PKWY STE 200
Ewa Beach, HI 96706
(808) 691-8200
✔ PECOSSame address
Pediatric Medicine
NPI 1740608777
98-1247 KAAHUMANU ST STE 315
Aiea, HI 96701
(808) 686-4190
✔ PECOS6.5 mi
Pediatric Medicine
NPI 1124005848
321 N KUAKINI ST SUITE 201
Honolulu, HI 96817
(808) 523-8611
✔ PECOS11 mi
Pediatric Medicine
NPI 1457449944
321 N. KUAKINI ST. SUITE #201
Honolulu, HI 96817
(808) 523-8611
✔ PECOS11 mi
Pediatric Medicine
NPI 1427794205
1319 PUNAHOU ST # 741
Honolulu, HI 96826
(808) 281-9847
✔ PECOS12 mi
Pediatric Medicine
NPI 1184005365
1501 N CAMPBELL AVE
Tucson, AZ 85724
(520) 694-7432
✔ PECOS2,980 mi

Internal Medicine (5)

Internal Medicine
NPI 1346777059
91-6390 KAPOLEI PKWY STE 200
Ewa Beach, HI 96706
(808) 691-8200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1588955892
91-6390 KAPOLEI PKWY STE 200
Ewa Beach, HI 96706
(808) 691-8200
✔ PECOSSame address
Internal Medicine
NPI 1164455861
321 N KUAKINI ST SUITE 201
Honolulu, HI 96817
(808) 523-8611
✔ PECOS11 mi
Internal Medicine
NPI 1194813832
321 N KUAKINI ST SUITE #201
Honolulu, HI 96817
(808) 523-8611
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1629166368
321 N KUAKINI ST SUITE #201
Honolulu, HI 96817
(808) 523-8611
✔ PECOS✔ Accepts Medicare11 mi

Clinical Psychologist (2)

Clinical Psychologist
NPI 1326440116
41-1347 KALANIANAOLE HWY
Waimanalo, HI 96795
(808) 259-7948
✔ PECOS✔ Accepts Medicare20 mi
Clinical Psychologist
NPI 1811398357
95 MAHALANI ST RM 21
Wailuku, HI 96793
(808) 244-4647
✔ PECOS✔ Accepts Medicare104 mi

Family Practice (2)

Family Practice
NPI 1578084505
91-6390 KAPOLEI PKWY
Ewa Beach, HI 96706
(808) 691-8200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1225126741
91-6390 KAPOLEI PKWY STE 200
Ewa Beach, HI 96706
(808) 691-8200
✔ PECOSSame address

Maternal-Fetal Medicine (1)

Maternal-Fetal Medicine
NPI 1578769667
1319 PUNAHOU ST., #824
Honolulu, HI 96826
(808) 203-6518
✔ PECOS✔ Accepts Medicare
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Primary Care Physician Enterprise LLC appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.