VICTORIA THIDA REDMOND (PA-C) – Physician Assistant, NPI 1346507555

VICTORIA THIDA REDMOND (PA-C) is a healthcare provider. based in Wailuku, Hawaii. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 22178 (CA). The NPI Number for VICTORIA THIDA REDMOND (PA-C) is 1346507555

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
VICTORIA THIDA REDMOND (PA-C)
NPI
1346507555
Phone
(808) 242-6464
Address
2180 MAIN ST
Enumeration Date
12 April 2012
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6507234000
Graduation Year
2011 (15 years ago)
PAC ID
8426213604
Group Practice PAC ID
6709797491
Professional Enrollment ID
I20120713000496
Address ID
CA943052200ST300XXDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Digital endpointsOther names

356 PHYSICIAN ASSISTANT in HI

Provider Addresses for VICTORIA THIDA REDMOND (PA-C)

  • 2180 MAIN ST

    WAILUKU, HI 967931625

    Phone: (808) 242-6464

    Fax: (808) 242-4292

    Type: Mailing

  • 2180 Main St

    Wailuku, HI 967931625

    Phone: (808) 242-6464

    Fax: (808) 242-4292

    Type: Location

  • 300 PASTEUR DR

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Location

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: 2012-07-13

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
I20120713000496IPhysician AssistantCATBD

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
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg2,64030$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg45247$0
99213Established patient office or other outpatient visit, 20-29 minutes166129$0
20610Aspiration and/or injection of fluid from large joint13798$0
J1030Injection, methylprednisolone acetate, 40 mg5817$0
View full utilization report →

Insurance plans in this area (ZIP 96793)

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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: 6709797491View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Plastic And Reconstructive SurgeryCA
Hematology, Medical OncologyNY
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How is VICTORIA THIDA REDMOND (PA-C) identified in CMS data?
CMS-hosted NPPES data lists VICTORIA THIDA REDMOND (PA-C) with NPI 1346507555.
Can I rely on VICTORIA THIDA REDMOND (PA-C) being an active provider?
As of the registry snapshot, VICTORIA THIDA REDMOND (PA-C) is marked active.
What is VICTORIA THIDA REDMOND (PA-C)'s primary classification?
Physician Assistant is the headline specialty for VICTORIA THIDA REDMOND (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect VICTORIA THIDA REDMOND (PA-C) on a map?
Expect Wailuku, Hawaii as a primary anchor for VICTORIA THIDA REDMOND (PA-C) unless the record lists multiple sites.
Is the information about VICTORIA THIDA REDMOND (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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