PAUL W. GRANDON (MD) – Internal Medicine Physician, NPI 1215908959

PAUL W. GRANDON (MD) is a healthcare provider. based in Wailuku, Hawaii. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD-21227 (HI). The NPI Number for PAUL W. GRANDON (MD) is 1215908959

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
PAUL W. GRANDON (MD)
NPI
1215908959
Phone
(808) 243-6050
Address
55 MAUI LANI PKWY
Enumeration Date
31 January 2006
Last Update Date
25 July 2022

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
8082436050
Graduation Year
1983 (43 years ago)
PAC ID
6002814597
Group Practice PAC ID
7618880667
Professional Enrollment ID
I20220330000593
Address ID
HI967932416WA55XXXPKWY400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

818 INTERNAL MEDICINE in HI

Provider Addresses for PAUL W. GRANDON (MD)

  • 55 MAUI LANI PKWY

    WAILUKU, HI 967932416

    Phone: (808) 243-6050

    Type: Location

  • 508, Broadway Street, Delhi, Richland Parish, Louisiana, 71232, United States

    DELHI, LA 712323002

    Phone: (318) 878-3737

    Fax: (318) 878-8638

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100702000078IInternal MedicineLATBD
I20220330000593IInternal MedicineHITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2214$0
View full utilization report →

Insurance plans in this area (ZIP 96793)

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Provider's Procedures

PAUL W. GRANDON (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINELA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report4833

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: 7618880667View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
O P T O M E T R YHI
-HI
Physician AssistantHI
Emergency MedicineVA
Orthopedic SurgeryHI
Internal MedicineHI
Orthopedic SurgeryHI
-HI
-CO

Reviews

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Frequently asked questions

Can I cross-check PAUL W. GRANDON (MD) using NPI 1215908959?
NPI 1215908959 belongs to PAUL W. GRANDON (MD); compare other details if you need extra assurance.
Active or inactive — what applies to PAUL W. GRANDON (MD)?
You should see PAUL W. GRANDON (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to PAUL W. GRANDON (MD)?
PAUL W. GRANDON (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PAUL W. GRANDON (MD)?
Travel planning: use Wailuku, Hawaii as the reference point for PAUL W. GRANDON (MD), then confirm.
Does PAUL W. GRANDON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.