KAPOLEI FAMILY MEDICAL CENTER, INC.
NPI 1275605743
Family Medicine in Kapolei, HI
About Kapolei Family Medical Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAPOLEI FAMILY MEDICAL CENTER, INC. (NPI 1275605743) is a healthcare organization registered as a family medicine in Kapolei, Hawaii and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Jonathan Kim, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kapolei Family Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Kapolei Family Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 12D2347137
Kapolei Family Medical Center · Kapolei, HIFrequently 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 Kapolei Family Medical Center, Inc.'s NPI number?
The NPI number for Kapolei Family Medical Center, Inc. is 1275605743. It was assigned to this organization in the NPPES registry on November 14, 2006.
Where is Kapolei Family Medical Center, Inc. located?
Kapolei Family Medical Center, Inc. is located at 590 Farrington Hwy Suite 526A, Kapolei, HI 96707. The listed phone number is (808) 674-2930.
What is Kapolei Family Medical Center, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kapolei Family Medical Center, Inc. enrolled in Medicare?
Yes. Kapolei Family Medical Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kapolei Family Medical Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Family Practice, reassign their Medicare billing to Kapolei Family Medical Center, Inc.. 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kapolei Family Medical Center, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 12D2347137) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kapolei Family Medical Center, Inc. was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kapolei Family Medical Center, Inc. · NPI 1275605743
Family Medicine organization in Kapolei, Hawaii. Organization record, active in the CMS NPPES registry since November 14, 2006.
## Identity
- **NPI:** 1275605743 (Entity type: Organization)
- **Enumerated:** November 14, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jonathan Kim, VICE PRESIDENT
## Practice location
- **Address:** 590 FARRINGTON HWY, SUITE 526A, Kapolei, HI 96707-2009
- **Phone:** (808) 674-2930
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2011
- **Other identifiers:** Medicare ID-Type Unspecified H55658 (HI); Medicare ID-Type Unspecified H55657 (HI); Other H55656 (HI); and 4 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1275605743) · Data from the CMS NPPES public registry.