KAUAI MEDICAL CLINIC
NPI 1376596643
Clinic/Center - Multi-Specialty in Lihue, HI

Active since May 18, 2006CLIA 12D0665883 · Microscopy
3-3420 KUHIO HWY, SUITE B, LIHUE, HI 96766(808) 245-1500(808) 246-1625 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kauai Medical Clinic NPPES

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

KAUAI MEDICAL CLINIC (NPI 1376596643) is a healthcare organization registered as a multi-specialty in Lihue, Hawaii and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through May 21, 2027 and lists David Okabe, Cfo, Sr. Vice President, as its authorized official.

NPPES Registry Identity

NPI1376596643
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameKAUAI MEDICAL CLINIC
Location Address3-3420 KUHIO HWY, SUITE BLihue, HI 96766-1098
Mailing Address1946 Young St, Suite 320Honolulu, HI 96826-2169 · (808) 973-7320 · Fax (808) 973-7325
Fax(808) 246-1625
Organization SubpartNo
Authorized OfficialDavid OkabeCfo, Sr. Vice President · (808) 535-7202
Enumeration DateMay 18, 2006
Last NPPES UpdateJuly 6, 2016
✔ NPI 1376596643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
3-3420 KUHIO HWY, Lihue, HI 96766

Other Identifiers 2

Medicare UPINX05819HI
Medicare PINHAUAIMED71HI

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)

Kauai Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

297

Medicare enrollment records show 297 clinicians reassign Medicare billing to Kauai Medical Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 66 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Emergency Medicine53
Anesthesiology36
Family Practice25
Diagnostic Radiology23
Internal Medicine22
Nurse Practitioner22
Hematology/Oncology15
Hospitalist15
22 other specialties86

Nearest to this location (20)

See all 297
Nurse Practitioner
NPI 1023065463
3-3420 KUHIO HWY STE B
Lihue, HI 96766
(808) 245-1523
✔ PECOSSame address
Emergency Medicine
NPI 1013012533
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1500
✔ PECOSSame address
Internal Medicine
NPI 1023188398
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1942246160
3-3420 KUHIO HWY
Lihue, HI 96766
(808) 245-1100
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1013087303
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477918209
3-3420 KUHIO HWY STE B
Lihue, HI 96766
(808) 245-1500
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1700149234
3-3420 KUHIO HWY STE B
Lihue, HI 96766
(808) 245-1511
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1194213710
3-3420 KUHIO HWY STE B
Lihue, HI 96766
(808) 245-1100
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1699962613
3-3420 KUHIO HWY SUITE B - KAUA'I MEDICAL CLINIC
Lihue, HI 96766
(808) 246-2951
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1952562340
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1500
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1891993846
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1500
✔ PECOS0.1 mi
Podiatry
NPI 1972608453
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1523
✔ PECOS✔ Accepts Medicare0.1 mi
Anesthesiology
NPI 1841679057
3-3420 KUHIO HWY
Lihue, HI 96766
(808) 245-1100
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1376571125
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1504
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1528163847
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1010
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1710082912
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1548
✔ PECOS✔ Accepts Medicare0.1 mi
Hospice/Palliative Care
NPI 1770946568
3-3420 KUHIO HWY STE B
Lihue, HI 96766
(808) 245-1113
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Medicine and Rehabilitation
NPI 1255436846
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1524
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1356526214
3-3420 KUHIO HWY DEPARTMENT OF SURGERY
Lihue, HI 96766
(808) 245-1505
✔ PECOS✔ Accepts Medicare0.1 mi
Otolaryngology
NPI 1679569586
3-3420 KUHIO HWY SUITE B
Lihue, HI 96766
(808) 245-1529
✔ PECOS✔ Accepts Medicare0.1 mi
See all 297 clinicians

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) 12D0665883

Kauai Medical Clinic - Main Clinic · Lihue, HI
Active · expires May 21, 2027
CLIA Number12D0665883
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorTad Jackson
Laboratory Phone(808) 245-1500
Laboratory LocationKauai Medical Clinic - Main Clinic3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766
CLIA data matches this NPI record on: Address 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 Kauai Medical Clinic's NPI number?

The NPI number for Kauai Medical Clinic is 1376596643. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Kauai Medical Clinic located?

Kauai Medical Clinic is located at 3-3420 Kuhio Hwy Suite B, Lihue, HI 96766. The listed phone number is (808) 245-1500.

What is Kauai Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Kauai Medical Clinic enrolled in Medicare?

Yes. Kauai Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kauai Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 297 clinicians in 30 Medicare specialties reassign their Medicare billing to Kauai Medical Clinic. 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. The largest specialties are Emergency Medicine (53), Anesthesiology (36) and Family Practice (25). Of these, 5 practice at this address and 66 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kauai Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D0665883) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kauai Medical Clinic accept?

Health plans from HMSA list Kauai Medical Clinic 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 Kauai Medical Clinic was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.