Active NPI
Matthew S. Dykema, D.O.
- Family Medicine Physician
- Hilo, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DOS-1454
- Practice address
- 1248 Kinoole St
Suite 101
Hilo, HI 96720-4171 - Phone
- (808) 935-8398
- Fax
- (808) 934-8151
- NPI assigned
- May 26, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DOS-1454 | HI | Primary |
Addresses
Primary practice location
1248 Kinoole St
Suite 101
Hilo, HI 96720-4171
Mailing address
1248 Kinoole St
Suite 101
Hilo, HI 96720-4171
Phone (808) 935-8398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255566816 | Medicaid | VA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1248 Kinoole St
Suite 101
Hilo, HI 96720-4171
Phone (808) 935-8398
Hospital & facility affiliations
- Bayada Home Health Care
- Dba Hawai'I Care Choices
- Hilo Benioff Medical Center
- Life Care Center of Hilo
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 41 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-1454 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyful Living, LLC | Family Medicine | Current | Accepting new patients |
Locations
1248 Kinoole St
Ste 101
Hilo, HI 96720
Phone (808) 935-8398
Interoperability endpoints
- matthew.dykema@hawaiihie.medicity.net
- matthew.dykema@1022772787412996.direct.elationemr.com
- matthewdykema@jlllc.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Hilo, HI
- NPI 1023556248
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
dba Life Care Center of Hilo
- Skilled Nursing Facility
- Hilo, HI
- NPI 1730132325
Nursing home
-
- Community Based Hospice Care Agency
- Hilo, HI
- NPI 1326048406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1255566816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1248 KINOOLE ST",
"address_2": "SUITE 101",
"city": "HILO",
"state": "HI",
"postal_code": "967204171",
"telephone_number": "808-935-8398",
"fax_number": "808-934-8151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 KINOOLE ST",
"address_2": "SUITE 101",
"city": "HILO",
"state": "HI",
"postal_code": "967204171",
"telephone_number": "808-935-8398",
"fax_number": "808-934-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYKEMA",
"first_name": "MATTHEW",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-26",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "DOS-1454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255566816",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.