NPIMap

Individual provider Active NPI

Jonathan Spencer Griffin, MD

  • Family Medicine Physician
  • Kailua, HI
National Provider Identifier
1194988543
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MR-1020 Issued in ID
Practice address
1453 Onioni St
Kailua, HI 96734-3760
Phone
(808) 797-1019
NPI assigned
Jul 7, 2008
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MR-1020 ID Primary

Addresses

Primary practice location

1453 Onioni St
Kailua, HI 96734-3760

Mailing address

PO Box 1379
Kailua, HI 96734-1379
Phone (808) 797-1019

Other identifiers 2

IdentifierTypeStateIssuer
12731OtherMT STATE LICENSE
MD-22888-0OtherHIHI STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, HI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110914000106 MT Practitioner - Family Practice 8628249158 Reassigns benefits to 1 organization
I20240816002427 HI Practitioner - Family Practice 8628249158 Reassigns benefits to 2 organizations
Practice locations: Kailua, HI

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mi-Health LLCGroup PAC ID 0143605030, 31 clinicians

Practice addresses (Care Compare)

770 Kapiolani Blvd
Suite 500
Honolulu, HI 96813-5258
Phone (808) 666-9960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MR-1020IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Family Medicine CurrentSince May 1, 2025 Accepting new patients
St. Peter's Health Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Mi-Health LLC CurrentSince Aug 1, 2024 Accepting new patients
St Peter's Health Current Accepting new patients
Hihousecall LLC CurrentSince May 26, 2024 Accepting new patients
Maunalani Nursing and Rehabilitation Center Past Accepting new patients
Hale Makua Health Services Past Accepting new patients
Hale Makua Health Services Past Accepting new patients

Locations

770 Kapiolani Blvd
Ste 500
Honolulu, HI 96813
Phone (808) 666-9960

45-181 Waikalua Rd
Kaneohe, HI 96744
Phone (808) 247-0003

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

2550 E Broadway St
Helena, MT 59601
Phone (406) 495-6805

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12423/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jonathan.griffin@532995347120132.direct.elationemr.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1194988543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1379",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341379",
            "telephone_number": "808-797-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 ONIONI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343760",
            "telephone_number": "808-797-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JONATHAN",
        "middle_name": "SPENCER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MR-1020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE LICENSE",
            "identifier": "12731",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HI STATE LICENSE",
            "identifier": "MD-22888-0",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.