The Cleveland Clinic Foundation
Organization Active NPI Diagnostic Radiology Physician · Kamuela, HI
NPI 1487952354 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1487952354
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- THE CLEVELAND CLINIC FOUNDATION
- Practice address
- 67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496 - Phone
- (808) 885-4444
- NPI assigned
- Mar 2, 2011
- Organization subpart
- No
Authorized official
- Name
- Dennis Laraway
- Title
- Executive VP Chief Finance Officer
- Phone
- (216) 445-1343
Owned or controlled facilities with NPI records 32
Other NPIs with the same Medicare PAC ID 13
Member of 1
Practitioners 6,956
-
John Clarke, MD
-
David P. Dalzell, M.D.
-
David W Brown, MD
-
George R Ainge, M.D.
-
Jan V Levitan, MD
-
Matthew S Lau, M.D.
-
Thomas James Rogers, M.D.
-
Ksenia Aviella Aaron, M.D.
-
Bryan Abadie, MD
-
Katarina Abadie, M.D.
-
Mandi Abdel Ahad, DO
-
Mohab Abdelmalek, MD
-
Mamoun Abdoh, MD
-
Tony Abdulkarim Jr., PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
All facility ownership & control disclosures 32
| Facility | Type | Role | Since |
|---|---|---|---|
| South Pointe Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 7, 1997 Feb 7, 1997 |
| Hillcrest Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 7, 1997 Feb 7, 1997 |
| Euclid Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 25, 1997 Nov 21, 2007 |
| Lutheran Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 1, 1997 Mar 1, 1997 |
| Fairview Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Feb 7, 1997 Feb 7, 1997 |
| Akron General Medical Center |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Sep 1, 2014 |
| Regency Hospital of North Central Ohio (Cleveland) |
Hospital | 5% Or Greater Indirect Ownership Interest (49%) | Jul 1, 2016 |
| Cleveland Clinic Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Oct 1, 2006 |
| Akron General Medical Center |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Nov 1, 2015 |
| Mercy Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2021 Feb 1, 2021 |
| Lodi Community Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Nov 1, 2015 |
| Mercy Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2021 Feb 1, 2021 |
| Euclid Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Feb 7, 1997 Feb 7, 1997 |
| Cleveland Clinic |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 31, 2009 Aug 31, 2009 |
| Marymount Hospital Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 3, 1995 Nov 3, 1995 |
| Marymount Hospital Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 21, 2007 Nov 21, 2007 |
| Cleveland Clinic Indian River Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Cleveland Clinic Martin North, South, Tradition Hospitals |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Cleveland Clinic Union Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2018 Apr 1, 2018 |
| Cleveland Clinic Union Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2018 Apr 1, 2018 |
| Lutheran Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Mar 1, 1997 Mar 1, 1997 |
| Cleveland Clinic Children'S Hospital for Rehabilitation |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 16, 1998 Jul 16, 1998 |
| Behavioral Health Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| Encompass Health Rehabilitation Hospital, an Affiliate of Martin Healt |
Hospital | 5% Or Greater Indirect Ownership Interest (49%) | Jan 1, 2019 |
| Cleveland Clinic Rehabilitation Hospitals, LLC |
Hospital | 5% Or Greater Direct Ownership Interest (49%) | Dec 1, 2015 |
| Cleveland Clinic Avon Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 4, 2016 May 4, 2015 |
| Select Specialty Hospital - Cleveland Fairhill |
Hospital | 5% Or Greater Indirect Ownership Interest (49%) | Jul 1, 2016 |
| Lodi Community Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Nov 1, 2015 |
| Welcome Nursing Home |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 1, 2017 Dec 8, 2025 |
| Cleveland Clinic Foundation Cleveland Clinic Home Care |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 28, 2007 Nov 28, 2007 |
| Union Hospital Home Health Agency |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2018 Apr 1, 2018 |
| Cleveland Clinic Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 23, 1992 Apr 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110406000291 | HI | Part B Supplier - Clinic/Group Practice | 1850203555 |
Receives reassigned benefits from 6 practitioners Practice locations: Kahului, HI; Kailua, HI; Kamuela, HI; Wailea, HI |
National Provider Directory
Locations
6000 W Creek Rd
Ste 10
Independence, OH 44131
Phone (216) 986-1256
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496
Mailing address
6801 Brecksville Rd
Ste 20 Attn: DPC RK2-7
Independence, OH 44131-5062
Other names
- Cleveland Clinic
Other providers in Kamuela, HI
- Katilina Lynn Tanner
- Luke Matthew Tarver
- Andrew George Tenhave
- Terry G Smith MD Inc.
- Alan Texeira
- Donna J. Thomas
- Kylie Thoms
- Thomas Rogers Thornton
- Jeffrey R. Tolan
- Traditional Chinese Medical College of Hawaii
All providers in Kamuela, HI · Diagnostic Radiology Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.