Koa Clinic, Inc
NPI 1528576436 · Clinic/Center · Kailua Kona, HI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Koa Clinic, Inc is a Clinic/Center organization in Kailua Kona, HI (NPI 1528576436).
Provider details
- NPI number
- 1528576436
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Corinne Maul De Soto, President(808) 638-3343
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Other names (DBA / former)
- Doing business as
- Koa Clinic of Integrative Healing
Registry dates
- Enumerated
- 2018-01-12
- Last updated
- 2024-07-03
- Certified
- 2023-09-06
Frequently asked questions
- What is Koa Clinic, Inc's NPI number?
- Koa Clinic, Inc's National Provider Identifier (NPI) is 1528576436, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koa Clinic, Inc?
- Koa Clinic, Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Koa Clinic, Inc located?
- Koa Clinic, Inc's practice location on file with NPPES is 75-5995 Kuakini Hwy Ste 213, Kailua Kona, HI 96740-2120.
- What is Koa Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Koa Clinic, Inc is (808) 638-3343.
- Does Koa Clinic, Inc accept Medicare?
- Koa Clinic, Inc 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 Koa Clinic, Inc?
- The authorized official listed on Koa Clinic, Inc's NPPES record is Corinne Maul De Soto, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Koa Clinic, Inc's NPI active?
- Yes — Koa Clinic, Inc's NPI (1528576436) is active in the NPPES registry as of the last update on 2024-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.