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ISLAND KIDNEY CARE
NPI 1780228544
Internal Medicine - Nephrology in Wailuku, HI

Active since November 04, 2019CLIA 12D2191496 · Microscopy
105 MAUI LANI PKWY STE 100, WAILUKU, HI 96793(808) 442-7777(808) 442-7778 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Island Kidney Care NPPES

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

ISLAND KIDNEY CARE (NPI 1780228544) is a healthcare organization registered as a nephrology in Wailuku, Hawaii and active in the NPI registry since November 2019. The organization holds a CLIA Microscopy certificate valid through August 26, 2026 and lists Clayton Michael Smiley, President / Md, as its authorized official.

NPPES Registry Identity

NPI1780228544
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTHWEST RENAL CLINIC, INC.
Location Address105 MAUI LANI PKWY STE 100Wailuku, HI 96793-2443
Mailing Address1130 Nw 22nd Ave Ste 640Portland, OR 97210-5488 · (503) 229-7976 · Fax (503) 274-4867
Phone(808) 442-7777
Fax(808) 442-7778
Organization SubpartYes
Authorized OfficialClayton Michael SmileyPresident / Md · (503) 229-7976
Enumeration DateNovember 4, 2019
Last NPPES UpdateNovember 5, 2019
✔ NPI 1780228544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
105 MAUI LANI PKWY STE 100, Wailuku, HI 96793
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Other Names 1

Doing Business AsIsland Kidney Care

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

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 for Provider-Performed Microscopy Procedures (PPMP) 12D2191496

Island Kidney Care · Wailuku, HI
Active · expires Aug 26, 2026
CLIA Number12D2191496
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorAdam C. Protain
Laboratory Phone(808) 442-7777
Laboratory LocationIsland Kidney Care105 Maui Lani Parkway, Suite 100, Wailuku, HI 96793
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADAM C PROTAIN MD
Internal Medicine (Nephrology)
105 MAUI LANI PKWY STE 100
WAILUKU, HI 96793
Maui County (808) 442-7777
DR. KRUNAL S. PATEL DO
Internal Medicine (Nephrology)
105 MAUI LANI PKWY STE 100
WAILUKU, HI 96793
Maui County (808) 442-7777
JOYCE L WATSON BIALECK RN
Registered Nurse
105 MAUI LANI PKWY STE 100
WAILUKU, HI 96793
Maui County (808) 442-7777
DR. ANTONIN JAROS MD
Internal Medicine (Nephrology)
105 MAUI LANI PKWY STE 100
WAILUKU, HI 96793
Maui County (480) 740-2106
KERRY G CROSBY FNP
Nurse Practitioner (Family)
105 MAUI LANI PKWY STE 100
WAILUKU, HI 96793
Maui County (808) 442-7777
KIRSTEN MARIE JENSEN NP
Nurse Practitioner
105 MAUI LANI PKWY STE 100
WAILUKU, HI 96793
Maui County (808) 442-7777

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 Northwest Renal Clinic, Inc.'s NPI number?

The NPI number for Northwest Renal Clinic, Inc. is 1780228544. It was assigned to this organization in the NPPES registry on November 4, 2019. The provider is doing business as Island Kidney Care.

Where is Northwest Renal Clinic, Inc. located?

Northwest Renal Clinic, Inc. is located at 105 Maui Lani Pkwy Ste 100, Wailuku, HI 96793. The listed phone number is (808) 442-7777.

What is Northwest Renal Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Northwest Renal Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D2191496) is associated with this NPI, valid through August 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northwest Renal Clinic, Inc. was last updated on November 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.