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KAMUELA MEDICAL ASSOCIATES INC
NPI 1427135953
General Practice in Kamuela, HI

Active since November 01, 2006CLIA 12D0692936 · Waiver
64-1066 B MAMALAHOA HWY, KAMUELA, HI 96743(808) 885-6006(808) 885-0906 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kamuela Medical Associates Inc NPPES

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

KAMUELA MEDICAL ASSOCIATES INC (NPI 1427135953), doing business as Jed A Groom Md Dba Kamuela Medical Associates, is a healthcare organization registered as a general practice in Kamuela, Hawaii and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Charlynn Nc Velasco, Asst Office Manager, as its authorized official.

NPPES Registry Identity

NPI1427135953
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameKAMUELA MEDICAL ASSOCIATES INC
Location Address64-1066 B MAMALAHOA HWYKamuela, HI 96743
Mailing Address64-1066 B Mamalahoa HwyKamuela, HI 96743 · (808) 885-6006 · Fax (808) 885-0906
Phone(808) 885-6006
Fax(808) 885-0906
Organization SubpartNo
Authorized OfficialCharlynn Nc VelascoAsst Office Manager · (808) 885-6006
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1427135953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in HI · MD4251
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
64-1066 B MAMALAHOA HWY, Kamuela, HI 96743
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Other Names 1

Former Legal Business NameJed A Groom Md Dba Kamuela Medical Associates

Other Identifiers 2

Other3020HI · Hmsa Bcbs
Medicaid00376101HI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kamuela Medical Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kamuela Medical Associates Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jed Groom, MD
General Practice
NPI 1033394838
64-1066 MAMALAHOA HWY UNIT B
Kamuela, HI 96743
(808) 885-6006
✔ PECOS✔ Accepts Medicare0.2 mi

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 12D0692936

Kamuela Medical Associates Inc · Kamuela, HI
Active · expires Aug 31, 2028
CLIA Number12D0692936
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorJed A. Groom
Laboratory Phone(808) 885-6006
Laboratory LocationKamuela Medical Associates Inc64-1066b Mamalahoa Hwy, Kamuela, HI 96743
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Kamuela Medical Associates Inc's NPI number?

The NPI number for Kamuela Medical Associates Inc is 1427135953. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider was formerly known as Jed A Groom MD Dba Kamuela Medical Associates.

Where is Kamuela Medical Associates Inc located?

Kamuela Medical Associates Inc is located at 64-1066 B Mamalahoa Hwy, Kamuela, HI 96743. The listed phone number is (808) 885-6006.

What is Kamuela Medical Associates Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kamuela Medical Associates Inc enrolled in Medicare?

Yes. Kamuela Medical Associates Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kamuela Medical Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Kamuela Medical Associates Inc. 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.

Does Kamuela Medical Associates Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D0692936) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kamuela Medical Associates Inc was last updated on August 22, 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.