Wailea Medical Group LLC
NPI 1497769988 · Internal Medicine Physician · Wailea, HI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wailea Medical Group LLC is a Internal Medicine Physician organization in Wailea, HI (NPI 1497769988).
Provider details
- NPI number
- 1497769988
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Park, M.D.(808) 875-9095
- License
- 3915 (HI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
- 2006-07-28
- Last updated
- 2015-09-16
Frequently asked questions
- What is Wailea Medical Group LLC's NPI number?
- Wailea Medical Group LLC's National Provider Identifier (NPI) is 1497769988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wailea Medical Group LLC?
- Wailea Medical Group LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wailea Medical Group LLC located?
- Wailea Medical Group LLC's practice location on file with NPPES is 161 Wailea Ike Pl, Wailea, HI 96753-6521.
- What is Wailea Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Wailea Medical Group LLC is (808) 875-9095.
- Does Wailea Medical Group LLC accept Medicare?
- Wailea 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 Wailea Medical Group LLC?
- The authorized official listed on Wailea Medical Group LLC's NPPES record is Gregory Park, M.D.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wailea Medical Group LLC's NPI active?
- Yes — Wailea Medical Group LLC's NPI (1497769988) is active in the NPPES registry as of the last update on 2015-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.