Dickran O. Boranian, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 6802 Issued in HI

Practice address

75 170 Hualalai Rd
Suite C110
Kailua Kona, HI 96740-1780

Phone

(808) 329-9211

Fax

(808) 329-0009

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Islands Emergency Medical Service Hawaii, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Honolulu, HI
  • NPI 1154393353
  NPD (past)
• Lifestyle Medicine Center of Hawaii, LLC

  • Cardiac Rehabilitation Registered Nurse
  • Kailua Kona, HI
  • NPI 1538740766
  NPD (past)
• Robert Watkins Emergency Group, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kapaau, HI
  • NPI 1669678660
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285631952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 170 HUALALAI RD",
            "address_2": "SUITE C110",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401780",
            "telephone_number": "808-329-9211",
            "fax_number": "808-329-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 170 HUALALAI RD",
            "address_2": "SUITE C110",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401780",
            "telephone_number": "808-329-9211",
            "fax_number": "808-329-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORANIAN",
        "first_name": "DICKRAN",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD 6802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05965201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy V Bloomfield, PT
• Barry Blum, MD
• BMF DME, LLC
• Alexandra Grace Boger, PT, DPT
• Dana Bolton-Waite, RBT
• Dani Jade Borer
• William Bothell
• Genelle Botje, D.P.T.
• Anneka Bowman
• Kaytiann Bowman, LMT

• Internal Medicine Physician in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.