Active NPI
Ronald C. Kwon, M.D.
- Internal Medicine Physician
- Makawao, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD-5040
- Practice address
- 55 Pukalani St
Makawao, HI 96768-8544 - Phone
- (808) 242-6464
- Fax
- (808) 984-7453
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39210 | MA | |
| Internal Medicine Physician | 207R00000X | MD-5040 | HI | Primary |
Addresses
Primary practice location
55 Pukalani St
Makawao, HI 96768-8544
Mailing address
2180 Main St
Wailuku, HI 96793-1625
Phone (808) 242-6464
Other practice location 1
86 Baker Avenue Ext
Concord, MA 01742-2132
Phone (978) 287-9310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2149206 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051122000471 | HI | Practitioner - Internal Medicine | 6305865189 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Colorado School of Medicine, Denver, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Maui Medical Group Inc
Practice addresses (Care Compare)
55 Pukalani St
Makawao, HI 96768-8544
Phone (808) 573-6200
Hospital & facility affiliations
- Bayada Home Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Windward Heart Center LLC | Current | Accepting new patients |
Locations
25 Maluniu Ave
Ste 201
Kailua, HI 96734
Phone (808) 261-2441
55 Pukalani St
Makawao, HI 96768
Phone (808) 572-8266
30 Kupaoa St
Ste 205
Makawao, HI 96768
Phone (808) 263-5009
2180 Main St
Wailuku, HI 96793
Phone (808) 242-4267
Networks
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wailuku, HI
- NPI 1942569702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1215083191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 MAIN ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931625",
"telephone_number": "808-242-6464",
"fax_number": "808-984-7453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 PUKALANI ST",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688544",
"telephone_number": "808-242-6464",
"fax_number": "808-984-7453"
}
],
"practiceLocations": [
{
"address_1": "86 Baker Avenue Ext",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "MA",
"postal_code": "017422132",
"country_code": "US",
"telephone_number": "978-287-9310",
"fax_number": "978-287-9357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWON",
"first_name": "RONALD",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "39210",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD-5040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2149206",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Makawao, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.