PACIFIC RIM CARDIOVASCULAR INC
NPI 1891013199
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Kahului, HI

Q: What is Pacific Rim Cardiovascular Inc's NPI number?

The NPI number for Pacific Rim Cardiovascular Inc is 1891013199. It was assigned to this organization in the NPPES registry on May 11, 2010.

Q: What is Pacific Rim Cardiovascular Inc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since May 11, 2010

385 HUKILIKE ST., SUITE 210, KAHULUI, HI 96732(808) 871-8346 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Pacific Rim Cardiovascular Inc NPPES

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

PACIFIC RIM CARDIOVASCULAR INC (NPI 1891013199) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Kahului, Hawaii and active in the NPI registry since May 2010. The organization lists Robert Randolph Waterford, President, as its authorized official.

NPPES Registry Identity

NPI1891013199

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NamePACIFIC RIM CARDIOVASCULAR INC

Location Address385 HUKILIKE ST., SUITE 210Kahului, HI 96732

Mailing AddressPo Box 923Wailuku, HI 96793-0923 · (808) 268-5789

Phone(808) 871-8346

Organization SubpartNo

Authorized OfficialRobert Randolph WaterfordPresident · (808) 268-5789

Enumeration DateMay 11, 2010

Last NPPES UpdateFebruary 20, 2013

✔ NPI 1891013199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in HI · 15055

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 15055 (HI)

385 HUKILIKE ST., Kahului, HI 96732

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Other Identifiers 2

Medicare UPING99474HI

Medicare UPING99474AS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Pacific Rim Cardiovascular Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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.

StateEnrollment IDDue date

StateHawaiiEnrollment IDO20110728000636Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Pacific Rim Cardiovascular Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Robert Waterford, MD

Vascular Surgery

NPI 1376559203

385 HUKILIKE ST SUITE 210
Kahului, HI 96732

(808) 871-8346

✔ PECOS✔ Accepts MedicareSame address

Gina Puen, APRN

Nurse Practitioner

NPI 1679834741

1292 WAIANUENUE AVE
Hilo, HI 96720

(808) 334-4400

✔ PECOS✔ Accepts Medicare118 mi

Leilani Kerr, APRN

Nurse Practitioner

NPI 1285982876

45 MOHOULI ST
Hilo, HI 96720

(808) 969-6153

✔ PECOS✔ Accepts Medicare120 mi

Cherryl Menapace, NP

Nurse Practitioner

NPI 1073028981

1717 S J ST
Tacoma, WA 98405

(253) 426-4101

✔ PECOS✔ Accepts Medicare2,628 mi

Lisa Herrmann

Nurse Practitioner

NPI 1508346651

12200 WARWICK BLVD STE 410
Newport News, VA 23601

(757) 534-5200

✔ PECOS✔ Accepts Medicare4,833 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pacific Rim Cardiovascular Inc's NPI number?

The NPI number for Pacific Rim Cardiovascular Inc is 1891013199. It was assigned to this organization in the NPPES registry on May 11, 2010.

Where is Pacific Rim Cardiovascular Inc located?

Pacific Rim Cardiovascular Inc is located at 385 Hukilike St. Suite 210, Kahului, HI 96732. The listed phone number is (808) 871-8346.

What is Pacific Rim Cardiovascular Inc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Pacific Rim Cardiovascular Inc enrolled in Medicare?

Yes. Pacific Rim Cardiovascular Inc is registered in the Medicare PECOS enrollment system.

When is Pacific Rim Cardiovascular 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 February 28, 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 Pacific Rim Cardiovascular Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Pacific Rim Cardiovascular 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. The largest specialties are Nurse Practitioner (4) and Vascular Surgery (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pacific Rim Cardiovascular Inc was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.