KA WAI OLA MEDICAL CLINIC LLC
NPI 1487102877
Clinic/Center - Primary Care in Keaau, HI
About Ka Wai Ola Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KA WAI OLA MEDICAL CLINIC LLC (NPI 1487102877) is a healthcare organization registered as a primary care in Keaau, Hawaii and active in the NPI registry since September 2016. The organization lists Leilani Kerr, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ka Wai Ola Medical 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 Ka Wai Ola Medical 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 Ka Wai Ola Medical Clinic LLC's NPI number?
The NPI number for Ka Wai Ola Medical Clinic LLC is 1487102877. It was assigned to this organization in the NPPES registry on September 14, 2016.
Where is Ka Wai Ola Medical Clinic LLC located?
Ka Wai Ola Medical Clinic LLC is located at 16-590 Old Volcano Rd Ste. A, Keaau, HI 96749. The listed phone number is (808) 796-0168.
What is Ka Wai Ola Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Ka Wai Ola Medical Clinic LLC enrolled in Medicare?
Yes. Ka Wai Ola Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ka Wai Ola Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ka Wai Ola Medical 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 Ka Wai Ola Medical Clinic LLC was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ka Wai Ola Medical Clinic Llc · NPI 1487102877
Primary Care organization in Keaau, Hawaii. Organization record, active in the CMS NPPES registry since September 14, 2016.
## Identity
- **NPI:** 1487102877 (Entity type: Organization)
- **Enumerated:** September 14, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Leilani Kerr, OWNER
## Practice location
- **Address:** 16-590 OLD VOLCANO RD, STE. A, Keaau, HI 96749-8158
- **Phone:** (808) 796-0168
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2016
- **Other identifiers:** Other 00A0324531 (HI); Other 11105633 (HI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1487102877) · Data from the CMS NPPES public registry.