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HAWAII SHOULDER AND ORTHOPEDIC INSTITUTE LLC
NPI 1255977864
Orthopaedic Surgery in Hilo, HI

Active since November 19, 2019
670 KEKUANAOA ST, HILO, HI 96720(808) 935-3378(808) 961-0498 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hawaii Shoulder And Orthopedic Institute Llc NPPES

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

HAWAII SHOULDER AND ORTHOPEDIC INSTITUTE LLC (NPI 1255977864) is a healthcare organization registered as an orthopaedic surgery in Hilo, Hawaii and active in the NPI registry since November 2019. The organization maintains a secondary practice location in Hilo and lists Raquel Ann Boromeo, Billing And Credentialing, as its authorized official.

NPPES Registry Identity

NPI1255977864
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameHAWAII SHOULDER AND ORTHOPEDIC INSTITUTE LLC
Location Address670 KEKUANAOA STHilo, HI 96720-4405
Mailing AddressPo Box 10742Hilo, HI 96721-5742 · (808) 935-3375 · Fax (808) 961-0498
Phone(808) 935-3378
Fax(808) 961-0498
Organization SubpartNo
Authorized OfficialRaquel Ann BoromeoBilling And Credentialing · (808) 987-0404
Enumeration DateNovember 19, 2019
✔ NPI 1255977864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
670 KEKUANAOA ST, Hilo, HI 96720
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Secondary Practice Location 1

Location 11028 Kinoole StHilo, HI 96720-3800 · Phone (808) 935-3378 · Fax (808) 961-0498

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hawaii Shoulder And Orthopedic Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Hawaii Shoulder And Orthopedic Institute LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Paola Abaro, APRN
Nurse Practitioner
NPI 1710691092
65-1305 KAWAIHAE RD UNIT B11
Kamuela, HI 96743
(323) 333-0616
✔ PECOS45 mi
Jay Boughanem, MD
Orthopedic Surgery
NPI 1518115948
676 N SAINT CLAIR ST FL 13 DEPARTMENT OF ORTHOPAEDIC SURGERY
Chicago, IL 60611
(312) 926-4485
✔ PECOS✔ Accepts Medicare4,179 mi

Source: 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 Hawaii Shoulder And Orthopedic Institute LLC's NPI number?

The NPI number for Hawaii Shoulder And Orthopedic Institute LLC is 1255977864. It was assigned to this organization in the NPPES registry on November 19, 2019.

Where is Hawaii Shoulder And Orthopedic Institute LLC located?

Hawaii Shoulder And Orthopedic Institute LLC is located at 670 Kekuanaoa St, Hilo, HI 96720. The listed phone number is (808) 935-3378.

What is Hawaii Shoulder And Orthopedic Institute LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Hawaii Shoulder And Orthopedic Institute LLC enrolled in Medicare?

Yes. Hawaii Shoulder And Orthopedic Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hawaii Shoulder And Orthopedic Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Hawaii Shoulder And Orthopedic Institute LLC, in Nurse Practitioner and Orthopedic Surgery. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Hawaii Shoulder And Orthopedic Institute LLC accept?

Health plans from HMSA list Hawaii Shoulder And Orthopedic Institute 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 Hawaii Shoulder And Orthopedic Institute LLC was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.