MALIA RUSSO
NPI 1417446402
Physician Assistant in Honolulu, HI

Active since May 04, 2018PECOS EnrolledAccepts Medicare Assignment
1401 S BERETANIA ST STE 102, HONOLULU, HI 96814(808) 356-5699 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2026, May 4, 2018 (2 updates tracked since 2018).

About Malia Russo NPPES

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

MALIA RUSSO (NPI 1417446402) is an individual physician assistant in Honolulu, Hawaii, licensed in Hawaii (AMD1425) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417446402
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMALIA RUSSO
Location Address1401 S BERETANIA ST STE 102Honolulu, HI 96814-1871
Mailing Address2324 Kaala StHonolulu, HI 96822-2201 · (702) 501-1848
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 4, 2018
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1417446402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in HI · AMD1425
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1401 S BERETANIA ST STE 102, Honolulu, HI 96814

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Malia Russo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597280388
PECOS Enrollment IDI20250414003411
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1401 S BERETANIA ST STE 102
HONOLULU, HI 96814
Orthopaedic Surgery
1401 S BERETANIA ST STE 102
HONOLULU, HI 96814
Physician Assistant
1401 S BERETANIA ST STE 102
HONOLULU, HI 96814
Physician Assistant
1401 S BERETANIA ST STE 102
HONOLULU, HI 96814
Physician Assistant
1401 S BERETANIA ST STE 102
HONOLULU, HI 96814
Clinic/Center (Urgent Care)
1401 S BERETANIA ST STE 102
HONOLULU, HI 96814
Physician Assistant
1401 S BERETANIA ST STE 102
HONOLULU, HI 96814
Physician Assistant
1401 S BERETANIA ST STE 102
HONOLULU, HI 96814

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 Malia Russo's NPI number?

The NPI number for Malia Russo is 1417446402. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Where is Malia Russo located?

Malia Russo practices at 1401 S Beretania St Ste 102, Honolulu, HI 96814. The listed phone number is (808) 356-5699.

What is Malia Russo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Malia Russo enrolled in Medicare?

Yes. Malia Russo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Malia Russo accept?

Health plans from HMSA list Malia Russo 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 Malia Russo was last updated on March 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.