Active NPI
Gregory Y. Dunn, M.D.
- Diagnostic Radiology Physician
- Honolulu, HI
National Provider Identifier
1700901212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD15853
- Practice address
- 321 N Kuakini St
Room 405
Honolulu, HI 96817-2364 - Phone
- (808) 522-0190
- Fax
- (808) 523-9068
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A84927 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | A84927 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | MD15853 | HI | Primary |
Addresses
Primary practice location
321 N Kuakini St
Room 405
Honolulu, HI 96817-2364
Mailing address
11234 Anderson St
Room 2605
Loma Linda, CA 92354-2804
Phone (909) 558-7814
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64773701 | Medicaid | HI | |
| MD15853 | Other | HI | QUEENS HEALTHCARE |
| 990157698 | Other | HI | HMAA |
| 00A849270 | Medicaid | CA | |
| 0295865 | Other | HI | HMSA/HMSA QUEST |
| 0429291089 | Other | HI | UHA |
| 1082145098 | Other | HI | AETNA |
| 64773702 | Medicaid | HI | |
| 103802483 | Other | HI | US MARSHALL SVC-FED DET |
| 20124380 | Other | HI | US DEPT OF LABOR |
| A0295863 | Other | HI | HMSA/HMSA QUEST |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101108001056 | HI | Practitioner - Diagnostic Radiology | 7618916958 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of California, Geffen School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Radiology Group Inc
Practice addresses (Care Compare)
640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5500
98 -1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (877) 709-9355
Hospital & facility affiliations
- Pali Momi Medical Center
- Kuakini Medical Center
- Adventist Health Castle
- Straub Clinic and Hospital
- The Queens Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84927 | CA | MD | Internal Medicine Physician |
| MD15853 | HI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
Hospital & facility affiliations 5
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": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1700901212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"address_2": "ROOM 2605",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "909-558-7814",
"fax_number": "909-558-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N KUAKINI ST",
"address_2": "ROOM 405",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172364",
"telephone_number": "808-522-0190",
"fax_number": "808-523-9068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "GREGORY",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A84927",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A84927",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD15853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64773701",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUEENS HEALTHCARE",
"identifier": "MD15853",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMAA",
"identifier": "990157698",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A849270",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA/HMSA QUEST",
"identifier": "0295865",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "0429291089",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1082145098",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64773702",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US MARSHALL SVC-FED DET",
"identifier": "103802483",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "20124380",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA/HMSA QUEST",
"identifier": "A0295863",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.