HILO OBSTETRICS AND GYNECOLOGY, LLC
NPI 1366710915
Clinic/Center - Medical Specialty in Hilo, HI

Active since December 11, 2011CLIA 12D2037088 · Microscopy
670 PONAHAWAI ST STE 115, HILO, HI 96720(808) 933-2100(808) 933-2112 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hilo Obstetrics And Gynecology, Llc NPPES

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

HILO OBSTETRICS AND GYNECOLOGY, LLC (NPI 1366710915) is a healthcare organization registered as a medical specialty in Hilo, Hawaii and active in the NPI registry since December 2011. The organization holds a CLIA Microscopy certificate valid through February 16, 2028 and lists Quyen-anh Dai Tran, Doctor, as its authorized official.

NPPES Registry Identity

NPI1366710915
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameHILO OBSTETRICS AND GYNECOLOGY, LLC
Location Address670 PONAHAWAI ST STE 115Hilo, HI 96720-7831
Mailing Address670 Ponahawai St, Suite 115Hilo, HI 96720-2660 · (808) 933-2100 · Fax (808) 933-2112
Fax(808) 933-2112
Organization SubpartNo
Authorized OfficialQuyen-anh Dai TranDoctor · (808) 933-2100
Enumeration DateDecember 11, 2011
Last NPPES UpdateMarch 8, 2012
✔ NPI 1366710915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in HI · MD-16277
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
670 PONAHAWAI ST STE 115, Hilo, HI 96720

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hilo Obstetrics And Gynecology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateHawaiiEnrollment IDO20120131000454Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hilo Obstetrics And Gynecology, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1467754432
82 PUUHONU PL STE 211
Hilo, HI 96720
(808) 933-2100
✔ PECOS✔ Accepts Medicare0.2 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 12D2037088

Hilo Obstetrics And Gynecology LLC · Hilo, HI
Active · expires Feb 16, 2028
CLIA Number12D2037088
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorQuyen Anh D. Tran
Laboratory Phone(808) 933-2100
Laboratory LocationHilo Obstetrics And Gynecology LLC82 Pu'uhonu Pl Suite 211, Hilo, HI 96720
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Hilo Obstetrics And Gynecology, LLC's NPI number?

The NPI number for Hilo Obstetrics And Gynecology, LLC is 1366710915. It was assigned to this organization in the NPPES registry on December 11, 2011.

Where is Hilo Obstetrics And Gynecology, LLC located?

Hilo Obstetrics And Gynecology, LLC is located at 670 Ponahawai St Ste 115, Hilo, HI 96720. The listed phone number is (808) 933-2100.

What is Hilo Obstetrics And Gynecology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Hilo Obstetrics And Gynecology, LLC enrolled in Medicare?

Yes. Hilo Obstetrics And Gynecology, LLC is registered in the Medicare PECOS enrollment system.

When is Hilo Obstetrics And Gynecology, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hilo Obstetrics And Gynecology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Hilo Obstetrics And Gynecology, LLC. 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.

Does Hilo Obstetrics And Gynecology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D2037088) is associated with this NPI, valid through February 16, 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 Hilo Obstetrics And Gynecology, LLC was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.