MAKANA NORTH SHORE DERMATOLOGY
NPI 1356149892
Dermatology in Princeville, HI
About Makana North Shore Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAKANA NORTH SHORE DERMATOLOGY (NPI 1356149892) is a healthcare organization registered as a dermatology in Princeville, Hawaii and active in the NPI registry since March 2025. The organization lists Edward Kimball, Sole Mbr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Makana North Shore Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Makana North Shore Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Salt Lake City, UT 84112
Salt Lake City, UT 84132
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 Makana North Shore Dermatology's NPI number?
The NPI number for Makana North Shore Dermatology is 1356149892. It was assigned to this organization in the NPPES registry on March 3, 2025.
Where is Makana North Shore Dermatology located?
Makana North Shore Dermatology is located at 4488 Hanalei Plantation Rd, Princeville, HI 96722. The listed phone number is (808) 320-7300.
What is Makana North Shore Dermatology's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Makana North Shore Dermatology enrolled in Medicare?
Yes. Makana North Shore Dermatology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Makana North Shore Dermatology?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Dermatology, reassign their Medicare billing to Makana North Shore Dermatology. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Makana North Shore Dermatology accept?
Health plans from HMSA list Makana North Shore Dermatology 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 Makana North Shore Dermatology was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.