MARY LINDA PAUL M.D.
NPI 1285639971
Internal Medicine in Kalaheo, HI
About Mary Linda Paul M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY LINDA PAUL M.D. (NPI 1285639971) is an individual internal medicine provider in Kalaheo, Hawaii, licensed in Hawaii (MD-11685) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Linda Paul M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Paul reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kalaheo, HI 96741
- Reassigned Medicare billing, Hawaii enrollment
- 66 clinicians in this Medicare group
Waimea, HI 96796
- Reassigned Medicare billing, Hawaii enrollment
- 94 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wilcox Memorial Hospital
Acute Care Hospitals · Lihue, HIKauai Veterans Memorial Hospital
Critical Access Hospitals · Waimea, HISamuel Mahelona Memorial Hospital
Critical Access Hospitals · Kapaa, HIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Mary Paul's NPI number?
The NPI number for Mary Paul is 1285639971. It was assigned to this individual provider in the NPPES registry on June 17, 2005.
Where is Mary Paul located?
Mary Paul practices at 4489 Papalina Road, Kalaheo, HI 96741. The listed phone number is (808) 332-8523.
What is Mary Paul's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mary Paul enrolled in Medicare?
Yes. Mary Paul is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Paul's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Paul reassigns Medicare benefits to 2 organizations: Samuel Mahelona Memorial Hospital (Kalaheo, HI) and Kauai Veterans Memorial Hospital (Waimea, HI). Each 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 Mary Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Paul accept?
Health plans from HMSA and Kaiser Permanente list Mary Paul 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.
Is Mary Paul affiliated with any hospitals?
According to CMS data, Mary Paul is affiliated with Wilcox Memorial Hospital, Kauai Veterans Memorial Hospital and Samuel Mahelona Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mary Paul was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mary Linda Paul, M.D. · NPI 1285639971
Internal Medicine physician in Kalaheo, Hawaii. Individual provider, active in the CMS NPPES registry since June 17, 2005.
## Identity
- **NPI:** 1285639971 (Entity type: Individual)
- **Enumerated:** June 17, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD-11685 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 4489 PAPALINA ROAD, Kalaheo, HI 96741
- **Phone:** (808) 332-8523 · **Fax:** (808) 332-7050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Samuel Mahelona Memorial Hospital (NPI 1184210932, Kalaheo, HI); Kauai Veterans Memorial Hospital (NPI 1467620328, Waimea, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** August 21, 2019
- **Other identifiers:** Medicaid 50008403 (HI)
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Source: [NPI Profile](https://npiprofile.com/npi/1285639971) · Data from the CMS NPPES public registry.