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KYLE SAMBLANET
NPI 1902338734
Family Medicine in Tripler Army Medical Center, HI

Active since March 30, 2017PECOS Enrolled
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859(808) 433-3313 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2022, Dec 30, 2020, Mar 30, 2017 (3 updates tracked since 2017).

About Kyle Samblanet NPPES

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

KYLE SAMBLANET (NPI 1902338734) is an individual family medicine provider in Tripler Army Medical Center, Hawaii, licensed in Hawaii (MD-19968) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Wainwright.

NPPES Registry Identity

NPI1902338734
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKYLE SAMBLANET
Location Address1 JARRETT WHITE RDTripler Army Medical Center, HI 96859-5001
Mailing Address4076 Neely RoadFort Wainwright, AK 99703 · (907) 361-5974
Phone(808) 433-3313
Sole ProprietorNo
Enumeration DateMarch 30, 2017
Last NPPES UpdateJuly 7, 20223 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
✔ NPI 1902338734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in HI · MD-19968
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859
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Secondary Practice Location 1

Location 14076 Neely RoadFort Wainwright, AK 99703-9970 · Phone (907) 361-5974

Other Identifiers 1

OtherMD-19968HI · Medical License

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Samblanet is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kyle Samblanet reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hilo Benioff Medical Center
212 mi
General Acute Care Hospital
1190 WAIANUENUE AVE
Hilo, HI 96720
  • Reassigned Medicare billing, Hawaii enrollment
  • 263 clinicians in this Medicare group
NPI 1780757856 (808) 932-3000
Norton Sound Health Corporation
2,998 mi
Critical Access
1000 GREG KRUSCHEK AVE
Nome, AK 99762
  • Reassigned Medicare billing, Alaska enrollment
  • Also billed through NPI 1225101041 (Alaska)
  • 193 clinicians in this Medicare group
NPI 1154358232 (907) 443-3311

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96859 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

CORINNE REYES LCSW
Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8785
DANIEL HEILMANN DO
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-6697
MR. ADRIAN SCOTT WORTHEN M.D.
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 433-4049
DR. JANE ELIZABETH MARSHALL OTD, OTR/L
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (937) 231-3795
TINA WILSON DO
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (210) 220-7961
MRS. LASHON SHEREMA WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8601
DR. NICHOLAS PATRICK MAHER DO
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (888) 683-2778
DR. KIMBERLY D DAVIS MD
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 471-9998

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 Kyle Samblanet's NPI number?

The NPI number for Kyle Samblanet is 1902338734. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Kyle Samblanet located?

Kyle Samblanet practices at 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859. The listed phone number is (808) 433-3313.

What is Kyle Samblanet's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kyle Samblanet enrolled in Medicare?

Yes. Kyle Samblanet is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kyle Samblanet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Samblanet reassigns Medicare benefits to 2 organizations: Hilo Benioff Medical Center (Hilo, HI) and Norton Sound Health Corporation (Nome, AK). Each 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 Kyle Samblanet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Samblanet accept?

Health plans from HMSA list Kyle Samblanet 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 Kyle Samblanet was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.