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KEANUENUE PEDIATRICS, LLC
NPI 1720605504
Pediatrics in Honolulu, HI

Active since June 29, 2020CLIA 12D2193026 · Waiver
615 PIIKOI ST STE 1501, HONOLULU, HI 96814(808) 600-2180(808) 600-2199 Get Directions Write a Review

NPPES record last updated: September 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 25, 2021, Jun 29, 2020 (2 updates tracked since 2020).

About Keanuenue Pediatrics, Llc NPPES

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

KEANUENUE PEDIATRICS, LLC (NPI 1720605504) is a healthcare organization registered as a pediatrics in Honolulu, Hawaii and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through September 15, 2028 and lists Jasmine Waipa, Physician-owner, as its authorized official.

NPPES Registry Identity

NPI1720605504
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKEANUENUE PEDIATRICS, LLC
Location Address615 PIIKOI ST STE 1501Honolulu, HI 96814-3142
Mailing Address707 10th AveHonolulu, HI 96816-2213 · (808) 372-2477
Phone(808) 600-2180
Fax(808) 600-2199
Organization SubpartNo
Authorized OfficialJasmine WaipaPhysician-owner · (808) 372-2477
Enumeration DateJune 29, 2020
Last NPPES UpdateSeptember 25, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2021
✔ NPI 1720605504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
615 PIIKOI ST STE 1501, Honolulu, HI 96814
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Other Identifiers 1

Medicaid688989HI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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)

Keanuenue Pediatrics, 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 Keanuenue Pediatrics, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jasmine Waipa, M.D.
Pediatric Medicine
NPI 1598923831
615 PIIKOI ST STE 1501
Honolulu, HI 96814
(808) 600-2180
✔ PECOSSame address

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 12D2193026

Keanuenue Pediatrics · Honolulu, HI
Active · expires Sep 15, 2028
CLIA Number12D2193026
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2026
Certificate Expiration DateSeptember 15, 2028
Laboratory DirectorJasmine Waipa
Laboratory Phone(808) 975-9595
Laboratory LocationKeanuenue Pediatrics615 Piikoi Sreet, Suite 1501, Honolulu, HI 96814
CLIA data matches this NPI record on: 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 Keanuenue Pediatrics, LLC's NPI number?

The NPI number for Keanuenue Pediatrics, LLC is 1720605504. It was assigned to this organization in the NPPES registry on June 29, 2020.

Where is Keanuenue Pediatrics, LLC located?

Keanuenue Pediatrics, LLC is located at 615 Piikoi St Ste 1501, Honolulu, HI 96814. The listed phone number is (808) 600-2180.

What is Keanuenue Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Keanuenue Pediatrics, LLC enrolled in Medicare?

Yes. Keanuenue Pediatrics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keanuenue Pediatrics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Keanuenue Pediatrics, 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.

Does Keanuenue Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2193026) is associated with this NPI, valid through September 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Keanuenue Pediatrics, LLC accept?

Health plans from HMSA list Keanuenue Pediatrics, 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 Keanuenue Pediatrics, LLC was last updated on September 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.