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HAWAIIAN ISLANDS DERMATOLOGY, LLC
NPI 1891310355
Dermatology in Kailua, HI

Active since June 10, 2020CLIA 12D2187219 · Microscopy
1051 KEOLU DR STE 107, KAILUA, HI 96734(808) 263-3233(808) 263-3220 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hawaiian Islands Dermatology, Llc NPPES

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

HAWAIIAN ISLANDS DERMATOLOGY, LLC (NPI 1891310355) is a healthcare organization registered as a dermatology in Kailua, Hawaii and active in the NPI registry since June 2020. The organization holds a CLIA Microscopy certificate valid through June 25, 2028 and lists Tami Black, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891310355
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHAWAIIAN ISLANDS DERMATOLOGY, LLC
Location Address1051 KEOLU DR STE 107Kailua, HI 96734-3800
Mailing Address1051 Keolu Dr Ste 107Kailua, HI 96734-3800 · (808) 263-3233 · Fax (808) 263-3220
Phone(808) 263-3233
Fax(808) 263-3220
Organization SubpartNo
Authorized OfficialTami BlackOffice Manager · (808) 263-3233
Enumeration DateJune 10, 2020
NPPES CertifiedJune 10, 2020
✔ NPI 1891310355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1051 KEOLU DR STE 107, Kailua, HI 96734
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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)

Hawaiian Islands Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Hawaiian Islands Dermatology, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Michael Pasquale, D.O.
Plastic and Reconstructive Surgery
NPI 1639231244
677 ALA MOANA BLVD STE 1024
Honolulu, HI 96813
(808) 945-5433
✔ PECOS✔ Accepts Medicare10 mi
Leslie Womack-Young, FNP-C
Nurse Practitioner
NPI 1851090146
595 W MAIN ST
Watertown, NY 13601
(888) 585-8882
✔ PECOS4,816 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 12D2187219

Hawaiian Islands Dermatology · Kailua, HI
Active · expires Jun 25, 2028
CLIA Number12D2187219
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorMichael A. Pasquale
Laboratory Phone(808) 263-3233
Laboratory LocationHawaiian Islands Dermatology1051 Keolu Drive, Suite 107, Kailua, HI 96734
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.

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 Hawaiian Islands Dermatology, LLC's NPI number?

The NPI number for Hawaiian Islands Dermatology, LLC is 1891310355. It was assigned to this organization in the NPPES registry on June 10, 2020.

Where is Hawaiian Islands Dermatology, LLC located?

Hawaiian Islands Dermatology, LLC is located at 1051 Keolu Dr Ste 107, Kailua, HI 96734. The listed phone number is (808) 263-3233.

What is Hawaiian Islands Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Hawaiian Islands Dermatology, LLC enrolled in Medicare?

Yes. Hawaiian Islands Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hawaiian Islands Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Hawaiian Islands Dermatology, LLC, in Nurse Practitioner and Plastic and Reconstructive Surgery. 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 Hawaiian Islands Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D2187219) is associated with this NPI, valid through June 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hawaiian Islands Dermatology, LLC accept?

Health plans from HMSA list Hawaiian Islands Dermatology, LLC 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 Hawaiian Islands Dermatology, LLC was last updated on June 10, 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.