MAUI DIAGNOSTIC IMAGING LLC – Diagnostic Radiology Physician, NPI 1699952960
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MAUI DIAGNOSTIC IMAGING LLC
PO BOX 1300
MAIL CODE 61059
HONOLULU, HI 968071300
Phone: (425) 635-4411
Fax: (425) 637-4646
Type: Mailing
Koloa Street, Kahului, Maui County, Hawaii, 96732-3509, United States
KAHULUI, HI 967322486
Phone: (808) 873-9550
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: 2004-06-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040611000994 | O | Independent Diagnostic Testing Facility (Idtf) | HI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 27,041 | 265 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 18,092 | 121 | $0 |
| 77067 | Screening mammography | 779 | 779 | $0 |
| 77063 | Screening 3d breast mammography | 562 | 562 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 305 | 305 | $0 |
Insurance plans in this area (ZIP 96807)
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