Individual provider Active NPI

Raymond Takashi Kuwahara, MD

  • Dermatology Physician
  • Dakota Dunes, SD
National Provider Identifier
1376512244
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
13156 Issued in SD
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

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9290815OtherINPHCS PID NUMBER
10873474OtherINCAQH NUMBER
000000360446OtherINANTHEM PROVIDER NUMBER
200509770MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE, SD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110920000926 IA Practitioner - Dermatology 6305745787 Reassigns benefits to 1 organization
I20211213001457 NE Practitioner - Dermatology 6305745787 Reassigns benefits to 1 organization
I20220516002489 SD Practitioner - Dermatology 6305745787 Reassigns benefits to 1 organization

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
Cnos PCGroup PAC ID 4284548942, 98 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
82.54
Promoting interoperability
89.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
76.84 of 100Reported as group
Quality
86.15
Promoting interoperability
100
Improvement activities
40
Cost
36.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision545
Removal of skin lesions2266
Removal or shaving of skin growth1-10
Skin biopsy1330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90175CAMDMental Health Counselor
MD-39773IAMDDermatology Physician
01060228AINMDDermatology Physician
34102NEMDDermatology Physician
13156SDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cnos, PC CurrentSince Jan 3, 2022 Accepting new patients
Cnos PC CurrentSince Jan 3, 2022 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

  • Direct secure messaging: rkuwahara128290@direct.unitypoint.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.