Individual provider Active NPI

Shawon Akanda, DO

  • Urology Physician
  • Johnson City, NY
National Provider Identifier
1346863511
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
346237 Issued in NY
Practice address
30 Harrison St Ste 460
Johnson City, NY 13790-2176
Phone
(607) 763-8101
NPI assigned
May 22, 2020
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 346237 NY Primary
Urology Physician 208800000X DOS-2694 HI

Addresses

Primary practice location

30 Harrison St Ste 460
Johnson City, NY 13790-2176

Mailing address

3108 Cornell Ave
Vestal, NY 13850-3002

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250626001525 HI Practitioner - Urology 1951813674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Philadelphia College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aloha Urology IncGroup PAC ID 9739246026, 5 clinicians

Practice addresses (Care Compare)

1329 Lusitana St
Suite 406
Honolulu, HI 96813-2412
Phone (808) 599-7779

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOS-2694HIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Urology West Oahu LLC Urology CurrentSince Aug 11, 2025 Accepting new patients
Aloha Urology, Inc. Urology CurrentSince Aug 11, 2025 Accepting new patients

Locations

91-2135 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 534-0777

1329 Lusitana St
Ste 406
Honolulu, HI 96813
Phone (808) 536-3690

1329 Lusitana St
Ste 506
Honolulu, HI 96813
Phone (808) 533-7311

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1346863511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 CORNELL AVE",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HARRISON ST STE 460",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902176",
            "telephone_number": "607-763-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKANDA",
        "first_name": "SHAWON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "346237",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "HI",
            "license": "DOS-2694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.