Maui Medical Group Inc - Medicare in Wailuku, HI

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Maui Medical Group Inc is a medicare enrolled "Internal Medicine" provider in Wailuku, Hawaii. Their current practice location is 2180 Main St, Wailuku, Hawaii. You can reach out to their office (for appointments etc.) via phone at (808) 242-6464.

Maui Medical Group Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Maui Medical Group Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215963970.

Contact Information

Maui Medical Group Inc
2180 Main St,
Wailuku, HI 96793-1625
(808) 242-6464
(808) 242-4292

Map and Direction




Healthcare Provider's Profile

Full NameMaui Medical Group Inc
TypeFacility
SpecialityInternal Medicine
Location2180 Main St, Wailuku, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215963970
  • Provider Enumeration Date: 06/24/2006
  • Last Update Date: 08/09/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7214823368
  • Enrollment ID: O20040225000575

Medical Identifiers

Medical identifiers for Maui Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215963970NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
207N00000XDermatology (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RH0003XInternal Medicine - Hematology & Oncology (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
207Y00000XOtolaryngology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Maui Medical Group Inc acts as a billing entity for following providers:
Provider NameRyan S Fusato
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578580296
PECOS PAC ID: 6709784960
Enrollment ID: I20031224000023
Provider NameKimberly M Kowalski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538107453
PECOS PAC ID: 0143111690
Enrollment ID: I20040323001379
Provider NameZora Bulatovic
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629001227
PECOS PAC ID: 4486697612
Enrollment ID: I20050608000306
Provider NameNolan P Arruda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043242209
PECOS PAC ID: 9436180841
Enrollment ID: I20050825000647
Provider NameDeborah Mathias
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1336163237
PECOS PAC ID: 4183647837
Enrollment ID: I20060109000367
Provider NameLorene K Siaw
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417002510
PECOS PAC ID: 4587760905
Enrollment ID: I20070501000693
Provider NameAlan D Odonovan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619915311
PECOS PAC ID: 7911097084
Enrollment ID: I20071213000583
Provider NameConstantin Novoselsky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861650764
PECOS PAC ID: 7618038654
Enrollment ID: I20081209000251
Provider NameKarla Kn Kurokawa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730333725
PECOS PAC ID: 7517020167
Enrollment ID: I20090108000511
Provider NameDon Halouska
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558348359
PECOS PAC ID: 5496651242
Enrollment ID: I20090527000332
Provider NameDeyaa Mounir
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366427908
PECOS PAC ID: 4789614215
Enrollment ID: I20091105000228
Provider NameWilliam Fagan
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1417976143
PECOS PAC ID: 7315081742
Enrollment ID: I20100223000237
Provider NameRoxanne E. Bhattacharya
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1295768893
PECOS PAC ID: 5294860524
Enrollment ID: I20100311000930
Provider NameMatthew Ho
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1912923103
PECOS PAC ID: 3476688110
Enrollment ID: I20100319000054
Provider NameDiane Nagasaka
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144256603
PECOS PAC ID: 8426183096
Enrollment ID: I20100322000297
Provider NameDaniel B Garcia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689699449
PECOS PAC ID: 9133257173
Enrollment ID: I20100512000277
Provider NameGeorge Powell
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1265446785
PECOS PAC ID: 3971634312
Enrollment ID: I20100628000992
Provider NameWilliam Mitchell
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1972527877
PECOS PAC ID: 6204967524
Enrollment ID: I20100701000147
Provider NameGuy Hirayama
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1679594980
PECOS PAC ID: 2668368713
Enrollment ID: I20100707000579
Provider NameAnne Biedel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114944832
PECOS PAC ID: 8022035799
Enrollment ID: I20100824000226
Provider NameMelody Jayne
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689973554
PECOS PAC ID: 8628029501
Enrollment ID: I20110630000470
Provider NameLana Wilkinson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861457012
PECOS PAC ID: 5991731788
Enrollment ID: I20110727000531
Provider NameRosemarie I Foronda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154346914
PECOS PAC ID: 6406029347
Enrollment ID: I20111109000470
Provider NameTurgut Berkmen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1346232683
PECOS PAC ID: 0446262414
Enrollment ID: I20121116000350
Provider NameEllecia Cook
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1831422906
PECOS PAC ID: 2365685005
Enrollment ID: I20130828001007
Provider NameKhaled Walid Hamzeh
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1861682056
PECOS PAC ID: 8921253337
Enrollment ID: I20140620000734
Provider NameErnest J Lee
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1578645990
PECOS PAC ID: 4183882327
Enrollment ID: I20140805000578
Provider NameCoral W Yap
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902191828
PECOS PAC ID: 9436377397
Enrollment ID: I20140905002533
Provider NameAlexander A Divin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437445855
PECOS PAC ID: 7012136153
Enrollment ID: I20140922002247
Provider NameAnna Hom
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063421733
PECOS PAC ID: 9032158316
Enrollment ID: I20141107001286
Provider NameSherelle L Lum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588069074
PECOS PAC ID: 4183949449
Enrollment ID: I20150207000081
Provider NameDerek R Illastron
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1790949956
PECOS PAC ID: 8921176264
Enrollment ID: I20160504002708
Provider NameKelly Runge
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528442639
PECOS PAC ID: 9032408380
Enrollment ID: I20160510001634
Provider NameMarc Rosenthal
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1144290339
PECOS PAC ID: 5496733941
Enrollment ID: I20160525001724
Provider NameTimothy Berney
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1548239239
PECOS PAC ID: 4880720663
Enrollment ID: I20170127000610
Provider NameGiedre Karakalpakis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477824399
PECOS PAC ID: 1658508247
Enrollment ID: I20171101001843
Provider NameShannon Leigh Mccormick
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1053832329
PECOS PAC ID: 0345506606
Enrollment ID: I20171102002461
Provider NameMichelle Ogues
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548686223
PECOS PAC ID: 1456617729
Enrollment ID: I20171102002908
Provider NameIoannis Karakalpakis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033418264
PECOS PAC ID: 6305018540
Enrollment ID: I20171102002922
Provider NameTanya Takatani-apo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821516618
PECOS PAC ID: 6406117571
Enrollment ID: I20180306002280
Provider NameNicholas Alexander Atkinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194295170
PECOS PAC ID: 4688914310
Enrollment ID: I20190315002326
Provider NameHeidi Kyoko Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437620515
PECOS PAC ID: 4486994480
Enrollment ID: I20190328001146
Provider NameMarirose Calderon
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1063837680
PECOS PAC ID: 2466718663
Enrollment ID: I20190805003345
Provider NameAaron Milstone
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1134211550
PECOS PAC ID: 7315001039
Enrollment ID: I20190820000866
Provider NameHeidi Denton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982086385
PECOS PAC ID: 8123334174
Enrollment ID: I20191013000010
Provider NameMarcelino Yera-paez
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1679868855
PECOS PAC ID: 5092953745
Enrollment ID: I20200121000386
Provider NameJalin K.a. Finai
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1710502331
PECOS PAC ID: 1153743042
Enrollment ID: I20200623001363
Provider NameCecilia Velarde Harrington
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538555206
PECOS PAC ID: 8224345673
Enrollment ID: I20201019000009
Provider NameAndrew Sumida
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1740712397
PECOS PAC ID: 6507286192
Enrollment ID: I20201021000221
Provider NameJanet Lee
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1386063634
PECOS PAC ID: 1153548797
Enrollment ID: I20210721003340
Provider NameRina Kojima Rousek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235596560
PECOS PAC ID: 0547568313
Enrollment ID: I20210820001412
Provider NameRowena Nikki Baysa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205409018
PECOS PAC ID: 8820493018
Enrollment ID: I20210826001188
Provider NameRobert Loree
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1720220783
PECOS PAC ID: 2668691577
Enrollment ID: I20210831002576
Provider NameAmy Tang Hou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417396490
PECOS PAC ID: 5890191712
Enrollment ID: I20210901001007
Provider NameInsaf Ally
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1750635801
PECOS PAC ID: 2769612738
Enrollment ID: I20211101000985
Provider NameImola K Osapay
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1558616094
PECOS PAC ID: 9335467422
Enrollment ID: I20211111001439
Provider NameJeuniece R Sampson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174016372
PECOS PAC ID: 3173870029
Enrollment ID: I20211116001714
Provider NameNicole Nazemi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962906610
PECOS PAC ID: 3678964954
Enrollment ID: I20211221000905
Provider NameBrooke E Raidmae
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093260291
PECOS PAC ID: 2365721479
Enrollment ID: I20220523002048
Provider NameRalph Salib-o Domingo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528706207
PECOS PAC ID: 5698153542
Enrollment ID: I20220604000184
Provider NameAlexei Zhadkevich
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1760642268
PECOS PAC ID: 5698078533
Enrollment ID: I20220719001347
Provider NameChandler R Riem
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003587536
PECOS PAC ID: 7113309212
Enrollment ID: I20220805002775
Provider NameAnne Baker Bealer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679929962
PECOS PAC ID: 5193007482
Enrollment ID: I20221006002648
Provider NameJolly Anne Lorenzo Uclaray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922762574
PECOS PAC ID: 8224406517
Enrollment ID: I20221117000650
Provider NameMelissa Diane Patao
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134791742
PECOS PAC ID: 4688071707
Enrollment ID: I20221213001804
Provider NameAmy Rhine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205020013
PECOS PAC ID: 1355439316
Enrollment ID: I20230116000943
Provider NameTheresa Duggan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770950669
PECOS PAC ID: 8426365719
Enrollment ID: I20230421002349
Provider NameKatherine Ann Rice
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881210391
PECOS PAC ID: 9436576642
Enrollment ID: I20230717001742
Provider NameBradley E Neuman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1053622548
PECOS PAC ID: 8820354806
Enrollment ID: I20230817001821
Provider NameJoanna Marie Plumb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114536448
PECOS PAC ID: 7315354644
Enrollment ID: I20230831004322
Provider NameMegin John
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215228648
PECOS PAC ID: 7214198886
Enrollment ID: I20230926000851
Provider NameJonathan Livingston
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1578192373
PECOS PAC ID: 3375980790
Enrollment ID: I20240321000956

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maui Medical Group Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maui Medical Group Inc
2180 Main St,
Wailuku, HI 96793-1625

Ph: (808) 242-6464		Maui Medical Group Inc
2180 Main St,
Wailuku, HI 96793-1625

Ph: (808) 242-6464

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.