KONA KOHALA MEDI CAL ASSOCIATES
NPI 1407928492
Internal Medicine in Kailua Kona, HI
About Kona Kohala Medi Cal Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KONA KOHALA MEDI CAL ASSOCIATES (NPI 1407928492) is a healthcare organization registered as an internal medicine in Kailua Kona, Hawaii and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Richard A. Pekala, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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)
Kona Kohala Medi Cal Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Kona Kohala Medi Cal Associates, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Kailua-kona, HI 96740
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 of Waiver 12D1066453
Kona Kohala Health Care Svcs · Kailua Kona, HIFrequently 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 Kona Kohala Health Care Services Inc's NPI number?
The NPI number for Kona Kohala Health Care Services Inc is 1407928492. It was assigned to this organization in the NPPES registry on November 14, 2006. The provider is doing business as Kona Kohala Medi Cal Associates.
Where is Kona Kohala Health Care Services Inc located?
Kona Kohala Health Care Services Inc is located at 75-137 Hualalai Rd, Kailua Kona, HI 96740. The listed phone number is (808) 329-1346.
What is Kona Kohala Health Care Services Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kona Kohala Health Care Services Inc enrolled in Medicare?
Yes. Kona Kohala Health Care Services Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kona Kohala Health Care Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kona Kohala Health Care Services Inc, in General Practice and Internal Medicine. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kona Kohala Health Care Services Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 12D1066453) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Kona Kohala Health Care Services Inc accept?
Health plans from HMSA list Kona Kohala Health Care Services Inc 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 Kona Kohala Health Care Services Inc was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kona Kohala Medi Cal Associates · NPI 1407928492
Internal Medicine organization in Kailua Kona, Hawaii. Organization record, active in the CMS NPPES registry since November 14, 2006.
## Identity
- **NPI:** 1407928492 (Entity type: Organization)
- **Enumerated:** November 14, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Kona Kohala Health Care Services Inc
- **Organization subpart:** No
- **Authorized official:** Richard Pekala, PRESIDENT
## Practice location
- **Address:** 75-137 HUALALAI RD, Kailua Kona, HI 96740-1703
- **Phone:** (808) 329-1346 · **Fax:** (808) 329-1575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2014
- **Other identifiers:** Other 00A0026490 (HI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407928492) · Data from the CMS NPPES public registry.