ISLAND DERMATOLOGY LLC
NPI 1497226054
Dermatology in Kailua Kona, HI
About Island Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISLAND DERMATOLOGY LLC (NPI 1497226054) is a healthcare organization registered as a dermatology in Kailua Kona, Hawaii and active in the NPI registry since December 2018. The organization maintains a secondary practice location in Waikoloa and lists Shellie R Norman, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Island Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Island Dermatology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Kailua Kona, HI 96740
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 Island Dermatology LLC's NPI number?
The NPI number for Island Dermatology LLC is 1497226054. It was assigned to this organization in the NPPES registry on December 7, 2018.
Where is Island Dermatology LLC located?
Island Dermatology LLC is located at 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740. The listed phone number is (808) 323-2608.
What is Island Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Island Dermatology LLC enrolled in Medicare?
Yes. Island Dermatology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Island Dermatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Island Dermatology LLC, in Dermatology, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Island Dermatology LLC accept?
Health plans from HMSA list Island Dermatology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Island Dermatology LLC was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.