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

NPI Status: Active since November 01, 2006

Contact Information

64-1066 B MAMALAHOA HWY
KAMUELA, HI
ZIP 96743
Phone: (808) 885-6006
Fax: (808) 885-0906

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  • Organization
  • General Practice
  • CLIA Number: 12D0692936
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About KAMUELA MEDICAL ASSOCIATES INC

This page provides the complete NPI Profile along with additional information for Kamuela Medical Associates Inc, a primary care provider established in Kamuela, Hawaii operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1427135953 assigned on November 2006. The practitioner's primary taxonomy code is 208D00000X with license number MD4251 (HI). The provider is registered as an organization and their NPI record was last updated 6 years ago. Kamuela Medical Associates Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Jed A Groom Md Dba Kamuela Medical Associates. The authorized official of this NPI record is Charlynn Nc Velasco (Asst Office Manager)

NPI
1427135953
Provider Legal Name
KAMUELA MEDICAL ASSOCIATES INC
Other Organization Name
JED A GROOM MD DBA KAMUELA MEDICAL ASSOCIATES
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
64-1066 B MAMALAHOA HWY KAMUELA, HI 96743
Location Phone
(808) 885-6006
Location Fax
(808) 885-0906
Mailing Address
64-1066 B MAMALAHOA HWY KAMUELA, HI 96743
Mailing Phone
(808) 885-6006
Mailing Fax
(808) 885-0906
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Kamuela Medical Associates Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD4251
License State
HI
Taxonomy Description
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

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLYNN NC VELASCO

Authorized Official Title
ASST OFFICE MANAGER
Authorized Official Phone
(808) 885-6006

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3020OTHER (01)HIHMSA BCBS
00376101MEDICAID (05)HI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
12D0692936
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
JED A. GROOM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kamuela Medical Associates Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427135953, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 2 + 3 + 1 + 0 + 9 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1427135953.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427135953, enumerated as an "organization" on November 01, 2006.

The provider is located at 64-1066 B MAMALAHOA HWY KAMUELA, HI 96743 and the phone number is (808) 885-6006.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.