PATTI K M ENDO MD INC
NPI 1972893980
Dermatology in Kahului, HI
About Patti K M Endo Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATTI K M ENDO MD INC (NPI 1972893980) is a healthcare organization registered as a dermatology in Kahului, Hawaii and active in the NPI registry since April 2011. The organization lists Patti K Endo, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
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)
Patti K M Endo Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Patti K M Endo MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Patti K M Endo MD Inc's NPI number?
The NPI number for Patti K M Endo MD Inc is 1972893980. It was assigned to this organization in the NPPES registry on April 11, 2011.
Where is Patti K M Endo MD Inc located?
Patti K M Endo MD Inc is located at 135 S Wakea Ave Suite 111, Kahului, HI 96732. The listed phone number is (808) 877-3635.
What is Patti K M Endo MD Inc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Patti K M Endo MD Inc enrolled in Medicare?
Yes. Patti K M Endo MD Inc is registered in the Medicare PECOS enrollment system.
When is Patti K M Endo MD 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 November 30, 2026. 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 Patti K M Endo MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Patti K M Endo MD 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Patti K M Endo MD Inc was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Patti K M Endo Md Inc · NPI 1972893980
Dermatology organization in Kahului, Hawaii. Organization record, active in the CMS NPPES registry since April 11, 2011.
## Identity
- **NPI:** 1972893980 (Entity type: Organization)
- **Enumerated:** April 11, 2011
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Patti Endo, PRESIDENT
## Practice location
- **Address:** 135 S WAKEA AVE, SUITE 111, Kahului, HI 96732-1385
- **Phone:** (808) 877-3635 · **Fax:** (808) 877-4363
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Hawaii, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2011
- **Other identifiers:** Medicare UPIN G03086 (HI); Medicare PIN H0000BDXQJ (HI); Medicaid 07506301 (HI)
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Source: [NPI Profile](https://npiprofile.com/npi/1972893980) · Data from the CMS NPPES public registry.