Active NPI
Jeremiah Reed Holmes Dawson, M.D.
- Orthopaedic Surgery Physician
- Willits, CA
National Provider Identifier
1356576946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A126985
- Practice address
- 84 Madrone St
Willits, CA 95490-4249 - Phone
- (707) 459-6855
- NPI assigned
- May 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD-23003 | HI | |
| Orthopaedic Surgery Physician | 207X00000X | A126985 | CA | Primary |
Addresses
Primary practice location
84 Madrone St
Willits, CA 95490-4249
Mailing address
84 Madrone St
Willits, CA 95490-4249
Phone (707) 841-6414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140702000713 | CA | Practitioner - Orthopedic Surgery | 1557500881 | Reassigns benefits to 1 organization |
| I20221027001577 | HI | Practitioner - Orthopedic Surgery | 1557500881 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Southern California Keck School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hilo Benioff Medical CenterKau Hospital
Practice addresses (Care Compare)
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000
Hospital & facility affiliations
- Hilo Benioff Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 22 |
| Knee replacement | 12 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126985 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kau Hospital | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients |
Locations
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
Interoperability endpoints
- jdawson335473@direct.ochin.org
- jdawson20073@hhsc.direct-ci.com
Organizations & group practices 14
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.
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Rural Health Clinic/Center
- Pahoa, HI
- NPI 1285450163
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1497961106
CA
-
- Nursing Facility/Intermediate Care Facility
- Hilo, HI
- NPI 1609949775
-
- Rural Health Clinic/Center
- Hilo, HI
- NPI 1154111607
-
- Rural Health Clinic/Center
- Hilo, HI
- NPI 1164083374
-
- Rural Health Clinic/Center
- Pahoa, HI
- NPI 1174777916
-
- Rural Health Clinic/Center
- Hilo, HI
- NPI 1336789874
-
- Critical Access Hospital
- Pahala, HI
- NPI 1558441311
Hospital & facility affiliations 1
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": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1356576946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 MADRONE ST",
"city": "WILLITS",
"state": "CA",
"postal_code": "954904249",
"telephone_number": "707-841-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 MADRONE ST",
"city": "WILLITS",
"state": "CA",
"postal_code": "954904249",
"telephone_number": "707-459-6855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "JEREMIAH",
"middle_name": "REED HOLMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-26",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "HI",
"license": "MD-23003",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A126985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willits, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.