THE QUEENS MEDICAL CENTER
NPI 1417580275
Clinic/Center - Urgent Care in Ewa Beach, HI
About The Queens Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE QUEENS MEDICAL CENTER (NPI 1417580275), doing business as Queen's Island Urgent Care, is a healthcare organization registered as an urgent care in Ewa Beach, Hawaii and active in the NPI registry since February 2020. The organization lists Jason Chang, Coo/ Exec Vp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Queens Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
802Medicare enrollment records show 802 clinicians reassign Medicare billing to The Queens Medical Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 91 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 64
Nearest to this location (20)
See all 802Ewa Beach, HI 96706
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 The Queens Medical Center's NPI number?
The NPI number for The Queens Medical Center is 1417580275. It was assigned to this organization in the NPPES registry on February 19, 2020. The provider is doing business as Queen's Island Urgent Care.
Where is The Queens Medical Center located?
The Queens Medical Center is located at 91-6390 Kapolei Pkwy, Ewa Beach, HI 96706. The listed phone number is (808) 735-0007.
What is The Queens Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is The Queens Medical Center enrolled in Medicare?
Yes. The Queens Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Queens Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 802 clinicians in 64 Medicare specialties reassign their Medicare billing to The Queens Medical Center. 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 Nurse Practitioner (173), Hospitalist (76) and Internal Medicine (75). Of these, 6 practice at this address and 91 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for The Queens Medical Center was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# The Queens Medical Center · NPI 1417580275
Urgent Care organization in Ewa Beach, Hawaii. Organization record, active in the CMS NPPES registry since February 19, 2020.
## Identity
- **NPI:** 1417580275 (Entity type: Organization)
- **Enumerated:** February 19, 2020
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Also known as:** QUEEN'S ISLAND URGENT CARE (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jason Chang, COO/ EXEC VP
## Practice location
- **Address:** 91-6390 KAPOLEI PKWY, Ewa Beach, HI 96706
- **Phone:** (808) 735-0007 · **Fax:** (808) 735-0021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 802 clinicians in 64 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (173), Hospitalist (76), Internal Medicine (75); 6 practice at this address and 91 within 10 miles; [full list](https://npiprofile.com/npi/1417580275/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1417580275) · Data from the CMS NPPES public registry.