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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: August 09, 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 ›

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.

Other Providers at the Same Location NPPES 2

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

DOUG MARLIS WILLIAMS PA
Physician Assistant (Medical)
1051 KEOLU DR STE 107
KAILUA, HI 96734
Honolulu County (808) 263-3233
KAILUA DERMATOLOGY CENTERS OF HAWAII, LLC
Physician Assistant (Medical)
1051 KEOLU DR STE 107
KAILUA, HI 96734
Honolulu County (808) 263-3233

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.

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.