Active NPI
Raymond Takashi Kuwahara, MD
- Dermatology Physician
- Dakota Dunes, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 13156
- Practice address
- 575 N Sioux Point Road
Dakota Dunes, SD 57049-5312 - Phone
- (605) 217-2667
- Fax
- (605) 217-2900
- NPI assigned
- Mar 14, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 13156 | SD | Primary |
| Dermatology Physician | 207N00000X | 01060228A | IN | |
| Dermatology Physician | 207N00000X | 34102 | NE | |
| Dermatology Physician | 207N00000X | MD-39773 | IA |
Addresses
Primary practice location
575 N Sioux Point Road
Dakota Dunes, SD 57049-5312
Mailing address
575 N Sioux Point Road
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667
Other practice location 1
1500 Salem St
Lafayette, IN 47904-2164
Phone (765) 448-8000 ext. 8639
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9290815 | Other | IN | PHCS PID NUMBER |
| 10873474 | Other | IN | CAQH NUMBER |
| 000000360446 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200509770 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Hahnemann Medical College and Hospital - Kansas City - NLG, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Providence Rd
Wayne, NE 68787-1212
Phone (402) 375-7953
201 E 4TH St
South Sioux City, NE 68776-9916
Phone (605) 217-2667
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500
2735 Outer Dr N
Cnos Northside
Sioux City, IA 51104-1590
Phone (712) 224-5692
300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone (712) 225-3368
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667
714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-8113
Hospital & facility affiliations
- St Lukes Regional Medical Center
- Orange City Area Health System
- Cherokee Regional Medical Center
- Floyd Valley Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 82.54
- Promoting interoperability
- 89.05
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.84 of 100
- Quality
- 86.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 36.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 545 |
| Removal of skin lesions | 2266 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1330 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90175 | CA | MD | Mental Health Counselor |
| MD-39773 | IA | MD | Dermatology Physician |
| 01060228A | IN | MD | Dermatology Physician |
| 34102 | NE | MD | Dermatology Physician |
| 13156 | SD | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cnos, PC | Current | Accepting new patients | |
| Cnos PC | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368
714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338
1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
2735 Outer Dr N
Sioux City, IA 51104
Phone (712) 224-5692
5708 Sunnybrook Ct
Sioux City, IA 51106
2730 Pierce St
Ste 300
Sioux City, IA 51104
Phone (712) 234-1005
201 E 4th St
Ste 202
South Sioux City, NE 68776
1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800
575 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-2615
Interoperability endpoints
- rkuwahara128290@direct.unitypoint.org
- raymondkuwahara@cnos.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- South Sioux City, NE
- NPI 1750047304
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Le Mars, IA
- NPI 1326109315
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
-
- Critical Access Hospital
- Orange City, IA
- NPI 1700856796
-
- Critical Access Hospital
- Primghar, IA
- NPI 1689640500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1376512244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 N SIOUX POINT ROAD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495312",
"telephone_number": "605-217-2667",
"fax_number": "605-217-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N SIOUX POINT ROAD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495312",
"telephone_number": "605-217-2667",
"fax_number": "605-217-2900"
}
],
"practiceLocations": [
{
"address_1": "1500 Salem St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479042164",
"country_code": "US",
"telephone_number": "765-448-8000 x8639",
"fax_number": "765-448-8335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUWAHARA",
"first_name": "RAYMOND",
"middle_name": "TAKASHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SD",
"license": "13156",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "01060228A",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NE",
"license": "34102",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IA",
"license": "MD-39773",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PID NUMBER",
"identifier": "9290815",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "10873474",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000360446",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200509770",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dakota Dunes, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.