HAWAII DERMATOPATHOLOGY LLC
NPI 1780120709
Clinical Medical Laboratory in Kihei, HI
About Hawaii Dermatopathology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAWAII DERMATOPATHOLOGY LLC (NPI 1780120709) is a healthcare organization registered as a clinical medical laboratory in Kihei, Hawaii and active in the NPI registry since January 2017. The organization holds a CLIA Certificate of Compliance certificate valid through March 10, 2028 and lists Amy Kersten Reisenauer, Lab Director/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hawaii Dermatopathology 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 Hawaii Dermatopathology 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.
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 Compliance 12D2120536
Hawaii Dermatopathology LLC · Kihei, HIFrequently 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 Hawaii Dermatopathology LLC's NPI number?
The NPI number for Hawaii Dermatopathology LLC is 1780120709. It was assigned to this organization in the NPPES registry on January 13, 2017.
Where is Hawaii Dermatopathology LLC located?
Hawaii Dermatopathology LLC is located at 1300 N Holopono St Ste 214, Kihei, HI 96753. The listed phone number is (808) 874-3444.
What is Hawaii Dermatopathology LLC's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Is Hawaii Dermatopathology LLC enrolled in Medicare?
Yes. Hawaii Dermatopathology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hawaii Dermatopathology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Hawaii Dermatopathology 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 Hawaii Dermatopathology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 12D2120536) is associated with this NPI, valid through March 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Hawaii Dermatopathology LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.