KAISER MOANALUA CLINIC RADIOLOGY
NPI 1972606473
Clinic/Center - Radiology in Honolulu, HI

Active since September 07, 2006
3288 MOANALUA RD, RADIOLOGY DEPARTMENT, HONOLULU, HI 96819(808) 432-7341(808) 432-7340 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kaiser Moanalua Clinic Radiology NPPES

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

KAISER MOANALUA CLINIC RADIOLOGY (NPI 1972606473) is a healthcare organization registered as a radiology in Honolulu, Hawaii and active in the NPI registry since September 2006. The organization lists Thomas J. Risse, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1972606473
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameKAISER FOUNDATION HEALTH PLAN
Location Address3288 MOANALUA RD, RADIOLOGY DEPARTMENTHonolulu, HI 96819-1469
Mailing Address711 Kapiolani Blvd, Billing DepartmentHonolulu, HI 96813-5214 · (808) 432-5312 · Fax (808) 432-5239
Fax(808) 432-7340
Organization SubpartNo
Authorized OfficialThomas J. RisseChief Financial Officer · (808) 432-5276
Enumeration DateSeptember 7, 2006
Last NPPES UpdateNovember 25, 2014
✔ NPI 1972606473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License✔ Licensed in HI · 150623
3288 MOANALUA RD, Honolulu, HI 96819

Other Names 1

Doing Business AsKaiser Moanalua Clinic Radiology

Other Identifiers 1

Medicare PINH52387HI

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaiser Moanalua Clinic Radiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

204

Medicare enrollment records show 204 clinicians reassign Medicare billing to Kaiser Moanalua Clinic Radiology, which bills Medicare for the services they deliver. Of these, 51 practice at this address and 125 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner60
Certified Registered Nurse Anesthetist (CRNA)50
Physical Therapist in Private Practice27
Clinical Psychologist21
Clinical Social Worker16
Qualified Audiologist9
Registered Dietitian or Nutrition Professional7
Occupational Therapist in Private Practice6
5 other specialties8

Nearest to this location (20)

See all 204
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881924082
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1801975818
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1518049683
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396838173
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1588728075
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316227259
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1528131968
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518139401
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOSSame address
Nurse Practitioner
NPI 1710033873
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOSSame address
Nurse Practitioner
NPI 1255385506
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-8321
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1700892023
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
Same address
Nurse Practitioner
NPI 1053464636
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOSSame address
Physical Therapist in Private Practice
NPI 1386797561
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-7785
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1316485311
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760652085
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
Same address
Nurse Practitioner
NPI 1003027319
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194182758
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1548399132
3288 MOANALUA RD # 2C
Honolulu, HI 96819
(808) 432-8293
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1396827473
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1578632956
3288 MOANALUA ROAD
Honolulu, HI 96819
(808) 432-8291
✔ Accepts MedicareSame address
See all 204 clinicians

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 Kaiser Foundation Health Plan's NPI number?

The NPI number for Kaiser Foundation Health Plan is 1972606473. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Kaiser Moanalua Clinic Radiology.

Where is Kaiser Foundation Health Plan located?

Kaiser Foundation Health Plan is located at 3288 Moanalua Rd Radiology Department, Honolulu, HI 96819. The listed phone number is (808) 432-7341.

What is Kaiser Foundation Health Plan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Kaiser Foundation Health Plan enrolled in Medicare?

Yes. Kaiser Foundation Health Plan is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kaiser Foundation Health Plan?

According to the CMS Revalidation Reassignment List (October 2026 release), 204 clinicians in 13 Medicare specialties reassign their Medicare billing to Kaiser Foundation Health Plan. 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 (60), Certified Registered Nurse Anesthetist (CRNA) (50) and Physical Therapist in Private Practice (27). Of these, 51 practice at this address and 125 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.