Pukalani Family Practice, LLC
NPI 1063009207 · Primary Care Clinic/Center · Makawao, HI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pukalani Family Practice, LLC is a Primary Care Clinic/Center organization in Makawao, HI (NPI 1063009207).
Provider details
- NPI number
- 1063009207
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dayaji Green, Office Manager(808) 573-8900
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-12-22
- Last updated
- 2020-12-22
- Certified
- 2020-12-22
Frequently asked questions
- What is Pukalani Family Practice, LLC's NPI number?
- Pukalani Family Practice, LLC's National Provider Identifier (NPI) is 1063009207, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pukalani Family Practice, LLC?
- Pukalani Family Practice, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pukalani Family Practice, LLC located?
- Pukalani Family Practice, LLC's practice location on file with NPPES is 81 Makawao Ave Ste 100, Makawao, HI 96768-8859.
- What is Pukalani Family Practice, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pukalani Family Practice, LLC is (808) 573-8900.
- Does Pukalani Family Practice, LLC accept Medicare?
- Pukalani Family Practice, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pukalani Family Practice, LLC?
- The authorized official listed on Pukalani Family Practice, LLC's NPPES record is Dayaji Green, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pukalani Family Practice, LLC's NPI active?
- Yes — Pukalani Family Practice, LLC's NPI (1063009207) is active in the NPPES registry as of the last update on 2020-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.