Provider Type Icon

REIS PEDIATRICS LLC NPI 1902196314


NPI Information

NPI: 1902196314
Provider Name: REIS PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 12D2123269

Address:
30 AULIKE ST
SUITE 500
KAILUA, HI
ZIP 96734
Phone: (808) 263-8822
Get Directions

REIS PEDIATRICS LLC is a pediatrics in Kailua, HI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. REIS PEDIATRICS LLC NPI is 1902196314. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 AULIKE ST
SUITE 500
KAILUA, HI
ZIP 96734-739
Phone: (808) 263-8822
Fax: (808) 261-6749

The provider's authorized official is Brijiit Reis .
The authorized official title is Owner and has the following contact phone number (808) 263-8822.

The CLIA number assigned to this NPI record is 12D2123269 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2011 and was last updated on 8/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1526400MEDICAIDHAWAII
250832701MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.