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MAUI CANCER CLINIC, INC.
NPI 1558765719
Clinic/Center - Oncology in Wailuku, HI

Active since October 17, 2014
24 NORTH CHURCH STREET SUITE 308, WAILUKU, HI 96793(808) 242-1110(855) 839-9759 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maui Cancer Clinic, Inc. NPPES

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

MAUI CANCER CLINIC, INC. (NPI 1558765719) is a healthcare organization registered as an oncology in Wailuku, Hawaii and active in the NPI registry since October 2014. The organization lists Ramin Altaha, President, as its authorized official.

NPPES Registry Identity

NPI1558765719
Entity TypeOrganization
Primary Taxonomy261QX0200X
Legal Business NameMAUI CANCER CLINIC, INC.
Location Address24 NORTH CHURCH STREET SUITE 308Wailuku, HI 96793
Mailing Address24 North Church Street Suite 308Wailuku, HI 96793 · (808) 242-1110 · Fax (855) 839-9759
Phone(808) 242-1110
Fax(855) 839-9759
Organization SubpartNo
Authorized OfficialRamin AltahaPresident · (808) 280-4858
Enumeration DateOctober 17, 2014
Last NPPES UpdateDecember 3, 2015
✔ NPI 1558765719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · OncologyAmbulatory Health Care Facilities
Taxonomy Code261QX0200X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
24 NORTH CHURCH STREET SUITE 308, Wailuku, HI 96793
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Other Identifiers 3

Medicare UPINI06456WV
Medicaid68766801HI
Medicare PINFF875ZHI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maui Cancer Clinic, 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 Maui Cancer Clinic, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Ramin Altaha, MD
Hematology/Oncology
NPI 1083649982
24 NORTH CHURCH STREET SUITE 308
Wailuku, HI 96793
(808) 242-1110
✔ PECOS✔ Accepts MedicareSame address

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 Maui Cancer Clinic, Inc.'s NPI number?

The NPI number for Maui Cancer Clinic, Inc. is 1558765719. It was assigned to this organization in the NPPES registry on October 17, 2014.

Where is Maui Cancer Clinic, Inc. located?

Maui Cancer Clinic, Inc. is located at 24 North Church Street Suite 308, Wailuku, HI 96793. The listed phone number is (808) 242-1110.

What is Maui Cancer Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, with taxonomy code 261QX0200X.

Is Maui Cancer Clinic, Inc. enrolled in Medicare?

Yes. Maui Cancer Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maui Cancer Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hematology/Oncology) reassigns their Medicare billing to Maui Cancer Clinic, 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.

When was this NPI record last updated?

The NPPES record for Maui Cancer Clinic, Inc. was last updated on December 3, 2015. 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.