VENTURE MEDICAL 21 INC
NPI 1851647952
Clinic/Center in Ewa Beach, HI
About Venture Medical 21 Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VENTURE MEDICAL 21 INC (NPI 1851647952) is a healthcare organization registered as a clinic/center in Ewa Beach, Hawaii and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Jose D Reque, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Venture Medical 21 Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Venture Medical 21 Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 12D2099343
Venture Medical 21 Inc · Ewa Beach, 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 Venture Medical 21 Inc's NPI number?
The NPI number for Venture Medical 21 Inc is 1851647952. It was assigned to this organization in the NPPES registry on July 26, 2012.
Where is Venture Medical 21 Inc located?
Venture Medical 21 Inc is located at 91-896 Makule Rd Ste 102, Ewa Beach, HI 96706. The listed phone number is (808) 689-4414.
What is Venture Medical 21 Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Venture Medical 21 Inc enrolled in Medicare?
Yes. Venture Medical 21 Inc is registered in the Medicare PECOS enrollment system.
When is Venture Medical 21 Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Venture Medical 21 Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Venture Medical 21 Inc, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Venture Medical 21 Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 12D2099343) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Venture Medical 21 Inc accept?
Health plans from HMSA list Venture Medical 21 Inc 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 Venture Medical 21 Inc was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Venture Medical 21 Inc · NPI 1851647952
Clinic/Center organization in Ewa Beach, Hawaii. Organization record, active in the CMS NPPES registry since July 26, 2012.
## Identity
- **NPI:** 1851647952 (Entity type: Organization)
- **Enumerated:** July 26, 2012
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Jose Reque, PRESIDENT
## Practice location
- **Address:** 91-896 MAKULE RD STE 102, Ewa Beach, HI 96706-2543
- **Phone:** (808) 689-4414 · **Fax:** (808) 689-7115
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Hawaii, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2014
- **Other identifiers:** Other W8141213401 (HI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851647952) · Data from the CMS NPPES public registry.