Tad Jackson, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

10307 Issued in HI

Practice address

3125A Elua St
Lihue, HI 96766-1212

Phone

(808) 245-5383

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Sleep Medicine

Education

University of Colorado School of Medicine, Denver, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pacific Pulmonary Consultants LLCGroup PAC ID 6709807829, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

Merit-based Incentive Payment System (MIPS)

Final score

71.73 of 100Reported as individual

Quality

93.32

Improvement activities

40

Cost

14.69

Merit-based Incentive Payment System (MIPS)

Final score

70.96 of 100Reported as group

Quality

47.2

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pacific Pulmonary Consultants LLC

  • Medical Specialty Clinic/Center
  • Lihue, HI
  • NPI 1376605550
  Medicare reassignment Care Compare group NPD Authorized official
• Braden Partners LP

  • Oxygen Equipment & Supplies (DME)
  • Bakersfield, CA
  • NPI 1093731010
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wilcox Memorial Hospital

  • Rural Acute Care Hospital
  • Lihue, HI
  • NPI 1225113442
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497722151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3070",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967666070",
            "telephone_number": "808-245-5383",
            "fax_number": "808-245-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125A ELUA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661212",
            "telephone_number": "808-245-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "HI",
            "license": "10307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Ives
• Stefani Iwami, LMFT
• Kaiea Iwasaki, OD
• Chandley Jackson
• Michelle Leigh Jackson, R. D.
• Bennett Jacoby
• Ashley Jean James, FNP-BC
• Janie H Yoo MD LLC
• Kalanikauleleiaiwi Ah Len Jardine, RBT
• Randall P Jaurequi, DDS

• Pulmonary Disease Physician in Lihue, HI
• Providers in Lihue, HI by specialty
• Pulmonary Disease Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.