EAST HAWAII HEALTH CLINIC AT PAHOA
NPI 1174777916
Clinic/Center - Rural Health in Pahoa, HI

Active since November 06, 2008CLIA 12D1096251 · Waiver
15-2662 PAHOA VILLAGE RD, SUITE 301, 303-305, 307, PAHOA, HI 96778(808) 965-1801 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2024, Aug 16, 2022, Mar 26, 2020 and 4 more (7 updates tracked since 2018).

About East Hawaii Health Clinic At Pahoa NPPES

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

EAST HAWAII HEALTH CLINIC AT PAHOA (NPI 1174777916) is a healthcare organization registered as a rural health in Pahoa, Hawaii and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Lauri Elizabeth Redus, Rural Health Clinic Practice Admin, as its authorized official.

NPPES Registry Identity

NPI1174777916
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameKAU HOSPITAL
Location Address15-2662 PAHOA VILLAGE RD, SUITE 301, 303-305, 307Pahoa, HI 96778-7730
Mailing Address15-2660 Pahoa Village Road, Suite 306, Pmb 8741Pahoa, HI 96778-7802 · (808) 965-1801
Organization SubpartNo
Authorized OfficialLauri Elizabeth RedusRural Health Clinic Practice Admin · (808) 932-3801
Enumeration DateNovember 6, 2008
Last NPPES UpdateOctober 10, 20247 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1174777916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
15-2662 PAHOA VILLAGE RD, Pahoa, HI 96778

Other Names 1

Doing Business AsEast Hawaii Health Clinic At Pahoa

Other Identifiers 1

Medicaid832396HI

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)

East Hawaii Health Clinic At Pahoa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to East Hawaii Health Clinic At Pahoa, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1831109933
15-2662 PAHOA VILLAGE RD SUITE 306 PMB 8741
Pahoa, HI 96778
(808) 930-6001
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1699106096
1444 WAILUKU DR
Hilo, HI 96720
(510) 599-2288
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1437594421
4095 E PONY EXPRESS PKWY STE 1
Eagle Mountain, UT 84005
(801) 429-8037
✔ PECOS✔ Accepts Medicare2,913 mi

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

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 12D1096251

East Hawaii Health Clinic At Pahoa · Pahoa, HI
Active · expires Aug 13, 2027
CLIA Number12D1096251
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorAndre Theriault
Laboratory Phone(808) 930-6001
Laboratory LocationEast Hawaii Health Clinic At Pahoa15-2662 Pahoa Village Rd Suite 303 Pmb 8741, Pahoa, HI 96778
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Kau Hospital's NPI number?

The NPI number for Kau Hospital is 1174777916. It was assigned to this organization in the NPPES registry on November 6, 2008. The provider is doing business as East Hawaii Health Clinic At Pahoa.

Where is Kau Hospital located?

Kau Hospital is located at 15-2662 Pahoa Village Rd Suite 301, 303-305, 307, Pahoa, HI 96778. The listed phone number is (808) 965-1801.

What is Kau Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Kau Hospital enrolled in Medicare?

Yes. Kau Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kau Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Kau Hospital. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kau Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D1096251) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kau Hospital accept?

Health plans from HMSA list Kau Hospital 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 Kau Hospital was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.