WAILUKU INTERNAL MEDICINE CLINIC LLC
NPI 1477305506
Clinic/Center in Wailuku, HI
About Wailuku Internal Medicine Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAILUKU INTERNAL MEDICINE CLINIC LLC (NPI 1477305506) is a healthcare organization registered as a clinic/center in Wailuku, Hawaii and active in the NPI registry since April 2024. The organization lists Maria Charito Gonzales Termulo, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wailuku Internal Medicine Clinic Llc 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 Wailuku Internal Medicine Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Wailuku Internal Medicine Clinic LLC's NPI number?
The NPI number for Wailuku Internal Medicine Clinic LLC is 1477305506. It was assigned to this organization in the NPPES registry on April 2, 2024.
Where is Wailuku Internal Medicine Clinic LLC located?
Wailuku Internal Medicine Clinic LLC is located at 1063 Lower Main St Ste C106, Wailuku, HI 96793. The listed phone number is (808) 242-6478.
What is Wailuku Internal Medicine Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Wailuku Internal Medicine Clinic LLC enrolled in Medicare?
Yes. Wailuku Internal Medicine Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wailuku Internal Medicine Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Wailuku Internal Medicine Clinic LLC. 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.
When was this NPI record last updated?
The NPPES record for Wailuku Internal Medicine Clinic LLC was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Wailuku Internal Medicine Clinic Llc · NPI 1477305506
Clinic/Center organization in Wailuku, Hawaii. Organization record, active in the CMS NPPES registry since April 2, 2024.
## Identity
- **NPI:** 1477305506 (Entity type: Organization)
- **Enumerated:** April 2, 2024
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Maria Charito Termulo, MANAGER
## Practice location
- **Address:** 1063 LOWER MAIN ST STE C106, Wailuku, HI 96793-6035
- **Phone:** (808) 242-6478
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477305506) · Data from the CMS NPPES public registry.