Active NPI
Kevin L Dawson, MD
- Dermatology Physician
- Honolulu, HI
National Provider Identifier
1811959414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD12990
- Practice address
- 1380 Lusitana St
Ste 412
Honolulu, HI 96813 - Phone
- (808) 599-3780
- Fax
- (808) 538-1672
- NPI assigned
- Apr 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD12990 | HI | Primary |
Addresses
Primary practice location
1380 Lusitana St
Ste 412
Honolulu, HI 96813
Mailing address
1380 Lusitana St
Ste 412
Honolulu, HI 96813
Phone (808) 599-3780
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55567501 | Medicaid | HI | |
| 00B0247375 | Other | HI | HMSA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Hawaii John a. Burns School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1380 Lusitana St
Suite 412
Honolulu, HI 96813-2440
Phone (808) 599-3780
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 86 |
| Removal of skin lesions | 1298 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 252 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12990 | HI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawson Dermatology, LLC | Current | Accepting new patients |
Locations
1380 Lusitana St
Ste 412
Honolulu, HI 96813
Phone (808) 599-3780
377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1811959414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 LUSITANA ST",
"address_2": "STE 412",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-599-3780",
"fax_number": "808-538-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 LUSITANA ST",
"address_2": "STE 412",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-599-3780",
"fax_number": "808-538-1672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "KEVIN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "HI",
"license": "MD12990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55567501",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "00B0247375",
"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 May 10, 2012; 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.