ATHENA CLINIC
NPI 1295423119
Surgery - Plastic and Reconstructive Surgery in Honolulu, HI
About Athena Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATHENA CLINIC (NPI 1295423119) is a healthcare organization registered as a plastic and reconstructive surgery in Honolulu, Hawaii and active in the NPI registry since April 2023. The organization lists Dianne Hom, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Athena Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Athena Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Disu Hawaii Inc's NPI number?
The NPI number for Disu Hawaii Inc is 1295423119. It was assigned to this organization in the NPPES registry on April 27, 2023. The provider is doing business as Athena Clinic.
Where is Disu Hawaii Inc located?
Disu Hawaii Inc is located at 1319 Punahou St Ste 1070, Honolulu, HI 96826. The listed phone number is (808) 944-8551.
What is Disu Hawaii Inc's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Disu Hawaii Inc enrolled in Medicare?
Yes. Disu Hawaii Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Disu Hawaii Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Disu Hawaii 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Disu Hawaii Inc was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Athena Clinic · NPI 1295423119
Plastic and Reconstructive Surgery organization in Honolulu, Hawaii. Organization record, active in the CMS NPPES registry since April 27, 2023.
## Identity
- **NPI:** 1295423119 (Entity type: Organization)
- **Enumerated:** April 27, 2023
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Legal business name:** Disu Hawaii Inc
- **Organization subpart:** Yes (part of Disu Hawaii Inc)
- **Authorized official:** Dianne Hom, CREDENTIALING
## Practice location
- **Address:** 1319 PUNAHOU ST STE 1070, Honolulu, HI 96826-1081
- **Phone:** (808) 944-8551
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1295423119) · Data from the CMS NPPES public registry.