Koa Clinic, Inc
NPI 1528576436ActiveOrganization· Clinic/Center· Kailua Kona, HI
Clinic/Center in Kailua Kona, Hawaii, registered in NPPES in January 2018. The authorized official on file is Corinne Maul De Soto, ND, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528576436 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2018 |
| Last updated in NPPES | Jul 3, 2024 |
| Certified by provider | Sep 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 258 | HI |
| General Practice | 208D00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (HI) |
|---|
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