ALA MOANA WALK-IN CLINIC
NPI 1871157628
Nurse Practitioner in Honolulu, HI
About Ala Moana Walk-in Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALA MOANA WALK-IN CLINIC (NPI 1871157628) is a healthcare organization registered as a nurse practitioner in Honolulu, Hawaii and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through September 21, 2027, maintains a secondary practice location in Honolulu, and lists Jae Hwan Kim, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
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)
Ala Moana Walk-in Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Ala Moana Walk-In Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 12D2237151
Ala Moana Walk-In Medical Clinic · Honolulu, 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 Ala Moana Walk-In Medical Clinic, Inc's NPI number?
The NPI number for Ala Moana Walk-In Medical Clinic, Inc is 1871157628. It was assigned to this organization in the NPPES registry on April 26, 2019. The provider is also known as Ala Moana Walk-In Clinic.
Where is Ala Moana Walk-In Medical Clinic, Inc located?
Ala Moana Walk-In Medical Clinic, Inc is located at 410 Atkinson Dr. Level 3, Honolulu, HI 96814. The listed phone number is (808) 498-7913.
What is Ala Moana Walk-In Medical Clinic, Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Ala Moana Walk-In Medical Clinic, Inc enrolled in Medicare?
Yes. Ala Moana Walk-In Medical Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ala Moana Walk-In Medical Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Ala Moana Walk-In Medical Clinic, Inc. 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, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ala Moana Walk-In Medical Clinic, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 12D2237151) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ala Moana Walk-In Medical Clinic, Inc accept?
Health plans from HMSA list Ala Moana Walk-In Medical Clinic, 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 Ala Moana Walk-In Medical Clinic, Inc was last updated on July 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ala Moana Walk-In Clinic · NPI 1871157628
Nurse Practitioner organization in Honolulu, Hawaii. Organization record, active in the CMS NPPES registry since April 26, 2019.
## Identity
- **NPI:** 1871157628 (Entity type: Organization)
- **Enumerated:** April 26, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Legal business name:** Ala Moana Walk-In Medical Clinic, Inc
- **Organization subpart:** No
- **Authorized official:** Jae Hwan Kim, OWNER
## Practice location
- **Address:** 410 ATKINSON DR., LEVEL 3, Honolulu, HI 96814
- **Phone:** (808) 498-7913 · **Fax:** (808) 748-0302
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871157628) · Data from the CMS NPPES public registry.