DR. AMY K REISENAUER (MD) – Dermatopathology Physician, NPI 1104927110

DR. AMY K REISENAUER (MD) is a healthcare provider. based in Kihei, Hawaii. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. MD-13436 (HI). The NPI Number for DR. AMY K REISENAUER (MD) is 1104927110

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMY K REISENAUER (MD)
NPI
1104927110
Phone
(808) 874-3444
Address
1300 N HOLOPONO ST STE 215
Enumeration Date
25 September 2006
Last Update Date
30 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
8088743444
Graduation Year
1997 (29 years ago)
PAC ID
8527093665
Group Practice PAC ID
3173892809
Professional Enrollment ID
I20050928000420
Address ID
HI967536945KI1300XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

90 DERMATOLOGY in HI

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Provider Addresses for DR. AMY K REISENAUER (MD)

  • North Holopono Street, Kihei, Maui County, Hawaii, 96753-7801, United States

    KIHEI, HI 967536945

    Phone: (808) 874-3444

    Fax: (808) 874-3443

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $671.

Total Amount is formed as General ($671) + Research ($0) + Ownership ($0) = $671.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($282).

Total Amount

$671

General + Research + Ownership

Payments

41

Total payment records

General Amount

$671

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050928000420IDermatologyHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths3,171480$0
88305Pathology examination of tissue using a microscope, intermediate complexity2,381834$0
99213Established patient office or other outpatient visit, 20-29 minutes1,159780$0
17000Destruction of precancer skin growth, 1 growth808579$0
11102Biopsy of related skin growth, first growth520387$0
View full utilization report →

Insurance plans in this area (ZIP 96753)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173892809View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YHI
Physician AssistantHI
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

Where can patients find DR. AMY K REISENAUER (MD)'s NPI?
You can confirm DR. AMY K REISENAUER (MD) with NPI 1104927110; it appears in the national provider directory.
Is DR. AMY K REISENAUER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. AMY K REISENAUER (MD) list a primary specialty?
If you are matching referrals, note Dermatopathology Physician for DR. AMY K REISENAUER (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. AMY K REISENAUER (MD)?
The page summarizes Kihei, Hawaii for DR. AMY K REISENAUER (MD); expand the address list for detail.
Is DR. AMY K REISENAUER (MD) a real provider?
This page reflects official NPPES data for NPI 1104927110. Always confirm identity and privileges with the practice and licensing boards.

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