LI-DUEN CLARK (M.D.) – Obstetrics & Gynecology Physician, NPI 1265731038

LI-DUEN CLARK (M.D.) is a healthcare provider. based in Kaneohe, Hawaii. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 15925 (HI). The NPI Number for LI-DUEN CLARK (M.D.) is 1265731038

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
LI-DUEN CLARK (M.D.)
NPI
1265731038
Phone
(808) 235-8000
Address
46-001 KAMEHAMEHA HWY
Enumeration Date
19 March 2011
Last Update Date
26 April 2012

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8082358000
Graduation Year
2007 (19 years ago)
PAC ID
9133399652
Group Practice PAC ID
2860661428
Professional Enrollment ID
I20110819000095
Address ID
HI967443724KA46001HWYX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

261 OBSTETRICS/GYNECOLOGY in HI

Provider Addresses for LI-DUEN CLARK (M.D.)

  • 46-001 KAMEHAMEHA HWY

    SUITE 204

    KANEOHE, HI 967443711

    Phone: (808) 235-8000

    Fax: (808) 235-8008

    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)

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: 2011-08-19

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
I20110819000095IObstetrics/GynecologyHITBD

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
99204New patient office or other outpatient visit, 45-59 minutes1414$0
99214Established patient office or other outpatient visit, 30-39 minutes1414$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1414$0
View full utilization report →

Insurance plans in this area (ZIP 96744)

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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: 2860661428View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YHI

Reviews

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Frequently asked questions

Can I cross-check LI-DUEN CLARK (M.D.) using NPI 1265731038?
NPI 1265731038 belongs to LI-DUEN CLARK (M.D.); compare other details if you need extra assurance.
Is there an active status for LI-DUEN CLARK (M.D.)?
For scheduling context, LI-DUEN CLARK (M.D.) is shown as active in the registry.
What area of care is associated with LI-DUEN CLARK (M.D.)?
LI-DUEN CLARK (M.D.)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Hawaii is LI-DUEN CLARK (M.D.) registered?
Use Kaneohe, Hawaii as the headline location for LI-DUEN CLARK (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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