Matthew C Davies, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DOS 1202 Issued in HI

Practice address

1292 Waianuenue Ave
Hilo, HI 96720-1228

Phone

(808) 934-4000

NPI assigned

May 17, 2007

Reactivated

Nov 7, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Clinic IncGroup PAC ID 5890699037, 28 clinicians

West Hawaii Community Health Center IncGroup PAC ID 1557389400, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dba Hawai'I Care Choices Hospice, Hilo, HI, CCN 121503

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kailua-Kona, HI
  • NPI 1952335630
  Medicare reassignment Care Compare group NPD
• West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pahoa, HI
  • NPI 1689814022
  Care Compare group
• West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pahoa, HI
  • NPI 1861376907
  NPD

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

• Hospice of Hilo

  • Community Based Hospice Care Agency
  • Hilo, HI
  • NPI 1326048406
  Care Compare affiliation

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1508073586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201228",
            "telephone_number": "808-934-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1292 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201228",
            "telephone_number": "808-934-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-01-07",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "D12345",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS 1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626369-02",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000280743",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Myrick Daniels I, M.D.
• Iane Dantas Franca, M.S.C
• Dar Enterprises, Inc
• Darrett Choy MD LLC
• David Y Nakamura M D Inc
• Alice E Davis, PHD, NP
• Candice Placencio Mendoza Davis, LMT
• George Grant Davis, P.T.
• Karen Louise Davis, MSN
• Jill Leslie Dawrs, D.C.

• Family Medicine Physician in Hilo, HI
• Providers in Hilo, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.