1. Home
  2. Directory
  3. Hawaii
  4. Waipahu
  5. Clinic Center
  6. NPI Profile

MARIA CARIDAD ILAR-REVILLA COMMUNITY HEALTH CLINIC LLC
NPI 1386944437
Clinic/Center - Medical Specialty in Waipahu, HI

Active since October 22, 2010
94-866 MOLOALO ST STE 1B, WAIPAHU, HI 96797(808) 677-5832(808) 671-9109 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maria Caridad Ilar-revilla Community Health Clinic Llc NPPES

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

MARIA CARIDAD ILAR-REVILLA COMMUNITY HEALTH CLINIC LLC (NPI 1386944437) is a healthcare organization registered as a medical specialty in Waipahu, Hawaii and active in the NPI registry since October 2010. The organization lists Maria Caridad Ilar-revilla, Owner, as its authorized official.

NPPES Registry Identity

NPI1386944437
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMARIA CARIDAD ILAR-REVILLA COMMUNITY HEALTH CLINIC LLC
Location Address94-866 MOLOALO ST STE 1BWaipahu, HI 96797-3354
Mailing Address94-866 Moloalo St Ste 1bWaipahu, HI 96797-3354 · (808) 677-5832 · Fax (808) 671-9109
Phone(808) 677-5832
Fax(808) 671-9109
Organization SubpartNo
Authorized OfficialMaria Caridad Ilar-revillaOwner · (808) 677-5832
Enumeration DateOctober 22, 2010
Last NPPES UpdateOctober 15, 2012
✔ NPI 1386944437 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 · 9394
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).
94-866 MOLOALO ST STE 1B, Waipahu, HI 96797
Open in Google Maps ↗

Other Identifiers 1

Medicaid078033-01HI

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)

Maria Caridad Ilar-revilla Community Health Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 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 IDO20121019000025Non-DME Part B · Clinic/Group PracticeDue dateMarch 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 Maria Caridad Ilar-Revilla Community Health Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maria Ilar-Revilla, M.D.
Internal Medicine
NPI 1619980471
94-866 MOLOALO ST # 1B
Waipahu, HI 96797
(808) 677-5832
✔ PECOS✔ Accepts MedicareSame address

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 Maria Caridad Ilar-Revilla Community Health Clinic LLC's NPI number?

The NPI number for Maria Caridad Ilar-Revilla Community Health Clinic LLC is 1386944437. It was assigned to this organization in the NPPES registry on October 22, 2010.

Where is Maria Caridad Ilar-Revilla Community Health Clinic LLC located?

Maria Caridad Ilar-Revilla Community Health Clinic LLC is located at 94-866 Moloalo St Ste 1B, Waipahu, HI 96797. The listed phone number is (808) 677-5832.

What is Maria Caridad Ilar-Revilla Community Health Clinic LLC's specialty?

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

Is Maria Caridad Ilar-Revilla Community Health Clinic LLC enrolled in Medicare?

Yes. Maria Caridad Ilar-Revilla Community Health Clinic LLC is registered in the Medicare PECOS enrollment system.

When is Maria Caridad Ilar-Revilla Community Health Clinic 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 March 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 Maria Caridad Ilar-Revilla Community Health Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Maria Caridad Ilar-Revilla Community Health Clinic 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.

When was this NPI record last updated?

The NPPES record for Maria Caridad Ilar-Revilla Community Health Clinic LLC was last updated on October 15, 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.