Pediatric Medical Group, LLC
NPI 1457446585 · Preferred Provider Organization · Honolulu, HI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Medical Group, LLC is a Preferred Provider Organization organization in Honolulu, HI (NPI 1457446585).
Provider details
- NPI number
- 1457446585
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Amelia Jacang, Pediatrician(808) 522-1313
- License
- 1854 (HI)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-10-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pediatric Medical Group, LLC's NPI number?
- Pediatric Medical Group, LLC's National Provider Identifier (NPI) is 1457446585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Medical Group, LLC?
- Pediatric Medical Group, LLC is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Pediatric Medical Group, LLC located?
- Pediatric Medical Group, LLC's practice location on file with NPPES is 1712 Liliha Street, Honolulu, HI 96817-3114.
- What is Pediatric Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Medical Group, LLC is (808) 522-1313.
- Does Pediatric Medical Group, LLC accept Medicare?
- Pediatric Medical Group, 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 Pediatric Medical Group, LLC?
- The authorized official listed on Pediatric Medical Group, LLC's NPPES record is Amelia Jacang, Pediatrician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Medical Group, LLC's NPI active?
- Yes — Pediatric Medical Group, LLC's NPI (1457446585) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.