CASTLE PRIMARY CARE OF KAILUA
NPI 1710336011
Clinic/Center in Kailua, HI

Active since June 07, 2016CLIA 12D2106176 · Waiver
30 AULIKE ST, SUITE 501, KAILUA, HI 96734(808) 263-5015 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Castle Primary Care Of Kailua NPPES

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

CASTLE PRIMARY CARE OF KAILUA (NPI 1710336011) is a healthcare organization registered as a clinic/center in Kailua, Hawaii and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Nicolas Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710336011
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCASTLE MEDICAL CENTER
Location Address30 AULIKE ST, SUITE 501Kailua, HI 96734-2739
Mailing Address640 Ulukahiki StKailua, HI 96734-4454
Organization SubpartYes
Authorized OfficialNicolas JohnsonCfo · (808) 263-5142
Enumeration DateJune 7, 2016
Last NPPES UpdateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1710336011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedInternal MedicineTaxonomy 207R00000X
30 AULIKE ST, Kailua, HI 96734

Other Names 1

Doing Business AsCastle Primary Care Of Kailua

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Castle Primary Care Of Kailua is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

110

Medicare enrollment records show 110 clinicians reassign Medicare billing to Castle Primary Care Of Kailua, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 66 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner19
Internal Medicine15
Family Practice12
Cardiovascular Disease (Cardiology)11
General Surgery11
Psychiatry8
Obstetrics/Gynecology6
Pediatric Medicine6
11 other specialties22

Nearest to this location (20)

See all 110
Nurse Practitioner
NPI 1245947167
30 AULIKE ST STE 500
Kailua, HI 96734
(808) 263-8822
✔ PECOSSame address
Nurse Practitioner
NPI 1245841931
30 AULIKE ST STE 500
Kailua, HI 96734
(808) 263-8822
✔ PECOSSame address
Nurse Practitioner
NPI 1336448158
30 AULIKE ST STE 500
Kailua, HI 96734
(808) 263-8822
✔ PECOSSame address
Internal Medicine
NPI 1790874972
30 AULIKE STREET STE 303
Kailua, HI 96734
(808) 261-1745
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083959621
30 AULIKE ST STE 300
Kailua, HI 96734
(808) 263-5015
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1598850141
30 AULIKE ST SUITE 500
Kailua, HI 96734
(808) 263-8822
✔ PECOSSame address
Pediatric Medicine
NPI 1083944490
30 AULIKE ST STE 500
Kailua, HI 96734
(808) 263-8822
✔ PECOSSame address
Family Practice
NPI 1972673416
40 AULIKE ST SUITE 412
Kailua, HI 96734
(808) 262-2424
✔ PECOSSame address
Psychiatry
NPI 1598958969
40 AULIKE ST STE 312
Kailua, HI 96734
(808) 664-3744
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1457369571
25 MALUNIU AVE STE 201
Kailua, HI 96734
(808) 261-2441
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1457978959
74 KIHAPAI ST
Kailua, HI 96734
(808) 490-3250
✔ PECOS✔ Accepts Medicare0.3 mi
Interventional Cardiology
NPI 1326238510
640 ULUKAHIKI ST
Kailua, HI 96734
(808) 793-7747
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1902250723
640 ULUKAHIKI ST
Kailua, HI 96734
(202) 263-5241
✔ PECOS✔ Accepts Medicare1.3 mi
Obstetrics/Gynecology
NPI 1205329547
640 ULUKAHIKI ST
Kailua, HI 96734
(808) 263-5500
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1740637545
642 ULUKAHIKI ST STE 207
Kailua, HI 96734
(808) 263-5009
✔ PECOS✔ Accepts Medicare1.5 mi
Rheumatology
NPI 1609496983
642 ULUKAHIKI ST
Kailua, HI 96734
(808) 263-5095
✔ PECOS✔ Accepts Medicare1.5 mi
Cardiovascular Disease (Cardiology)
NPI 1235127259
642 ULUKAHIKI ST
Kailua, HI 96734
(808) 263-5174
✔ PECOS✔ Accepts Medicare1.5 mi
Cardiac Electrophysiology
NPI 1689879009
642 ULUKAHIKI ST STE 103
Kailua, HI 96734
(808) 263-5009
✔ PECOS✔ Accepts Medicare1.5 mi
Urology
NPI 1881229912
642 ULUKAHIKI ST STE 103
Kailua, HI 96734
(808) 263-5360
✔ PECOS1.5 mi
Gastroenterology
NPI 1245214618
642 ULUKAHIKI ST STE 103
Kailua, HI 96734
(808) 263-5174
✔ PECOS✔ Accepts Medicare1.5 mi
See all 110 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2106176

Castle Primary Care Of Kailua · Kailua, HI
Active · expires Feb 23, 2028
CLIA Number12D2106176
Laboratory TypeClinic
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorAngela Simmons
Laboratory Phone(808) 263-5148
Laboratory LocationCastle Primary Care Of Kailua30 Aulike St Suite 300, Kailua, HI 96734
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Castle Medical Center's NPI number?

The NPI number for Castle Medical Center is 1710336011. It was assigned to this organization in the NPPES registry on June 7, 2016. The provider is doing business as Castle Primary Care Of Kailua.

Where is Castle Medical Center located?

Castle Medical Center is located at 30 Aulike St Suite 501, Kailua, HI 96734. The listed phone number is (808) 263-5015.

What is Castle Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Castle Medical Center enrolled in Medicare?

Yes. Castle Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Castle Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 110 clinicians in 19 Medicare specialties reassign their Medicare billing to Castle Medical Center. 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. The largest specialties are Nurse Practitioner (19), Internal Medicine (15) and Family Practice (12). Of these, 9 practice at this address and 66 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Castle Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2106176) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Castle Medical Center accept?

Health plans from HMSA list Castle Medical Center 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 Castle Medical Center was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.