Individual provider Active NPI

Thomas C Rayson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Kailua Kona, HI
National Provider Identifier
1649219130
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
34555-20 Issued in WI
Practice address
75-5915 Walua Rd
Kailua Kona, HI 96740-1375
Phone
(808) 796-5624
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 20808 HI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036172686 IL
General Practice Physician 208D00000X MD-20808 HI
General Practice Physician 208D00000X 34555-20 WI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 34555-20 WI Primary

Addresses

Primary practice location

75-5915 Walua Rd
Kailua Kona, HI 96740-1375

Mailing address

82-5999 Coffee PL
Captain Cook, HI 96704-8258
Phone (920) 527-8817

Other practice location 1

70-1019 Haukapila St
kealakelua, HI 96750
Phone (808) 322-9311

Other practice location 2

900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000

Other practice location 3

300 Randall Rd # Ll
Geneva, IL 60134-4200
Phone (630) 208-4201

Other identifiers 1

IdentifierTypeStateIssuer
32239100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220616002851 WI Practitioner - Family Practice 0143311456
I20241223000241 IL Practitioner - Pathology 0143311456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 208-4060

304 Randall Rd
Geneva, IL 60134-4200
Phone (630) 352-5450

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
87.15 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
76.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20808HIMDFamily Medicine Physician
MD-20808HIMDGeneral Practice Physician
34555-20WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Riverview Hospital & Clinics, Inc. Multi-Specialty Current Accepting new patients
Northwestern Medical Faculty Foundation Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients
The Howard Young Medical Center, Inc. Multi-Specialty Current Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Multi-Specialty Current Accepting new patients
Northwestern Medical Faculty Foundation Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

29980 Network Pl
Chicago, IL 60673

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 5

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 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1649219130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82-5999 COFFEE PL",
            "city": "CAPTAIN COOK",
            "state": "HI",
            "postal_code": "967048258",
            "telephone_number": "920-527-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5915 WALUA RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401375",
            "telephone_number": "808-796-5624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70-1019 Haukapila St",
            "address_purpose": "LOCATION",
            "city": "kealakelua",
            "state": "HI",
            "postal_code": "96750",
            "country_code": "US",
            "telephone_number": "808-322-9311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Illinois Ave",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544813114",
            "country_code": "US",
            "telephone_number": "715-346-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Randall Rd # Ll",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344200",
            "country_code": "US",
            "telephone_number": "630-208-4201",
            "fax_number": "630-208-3489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYSON",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "20808",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036172686",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD-20808",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "34555-20",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "34555-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32239100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.