Pacific Radiology Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD3593 Issued in HI

Legal business name

PACIFIC RADIOLOGY GROUP INC

Practice address

347 Kuakini St
Honolulu, HI 96817-2306

Phone

(808) 522-0190

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Dunn, MDNPI 1700901212

Title

Owner

Phone

(808) 522-0190

Specialties & licenses 13

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI, MA, MD, GA, RI, CA, MI, PA, DC, TX, WA, IL, NC, SD, OR, FL, NE17 enrollments

Enrollment records 17

Locations

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Y. Dunn, M.D.

  • Diagnostic Radiology Physician
  • Honolulu, HI
  • NPI 1700901212

  HI

  Medicare reassignment Care Compare group Authorized official
• Jay Jiwook Choi, M.D.; M.SC.

  • Diagnostic Radiology Physician
  • Tripler Army Medical Center, HI
  • NPI 1346536133

  Diagnostic Radiology, HI

  Medicare reassignment Care Compare group NPD
• Rajiv Girish Rao, M.D.

  • Vascular & Interventional Radiology Physician
  • Honolulu, HI
  • NPI 1548603574

  Diagnostic Radiology, HI

  Medicare reassignment Care Compare group NPD
• John Michael Conklin, MD

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1861917114

  Diagnostic Radiology, MA

  Medicare reassignment Care Compare group NPD
• Christopher Charles Denucci, M.D./PH.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1598023988

  Diagnostic Radiology, OR

  Medicare reassignment Care Compare group NPD
• Matthew Aaron Haber, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1063892172

  Diagnostic Radiology, PA

  Medicare reassignment Care Compare group NPD
• Rania Hito

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1215104310

  Diagnostic Radiology, MA

  Medicare reassignment Care Compare group NPD
• Russell Phelps Kelley IV, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1215375373

  Diagnostic Radiology, MA

  Medicare reassignment Care Compare group NPD
• Benjamin Michael Kozak, MD

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1487015384

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Ian Pan, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1073140786

  Diagnostic Radiology, MA

  Medicare reassignment Care Compare group NPD
• Alexander Beaumont Steever, M.D.

  • Diagnostic Radiology Physician
  • Fairfax, VA
  • NPI 1750503496

  DC, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Victoria Wu, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1891187209

  Diagnostic Radiology, IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1871577536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "#405",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-522-0190",
            "fax_number": "808-523-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172306",
            "telephone_number": "808-522-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RADIOLOGY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-522-0190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD3593",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD3504",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD6106",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD7570",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD7714",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD11118",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD9450",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD9646",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD11388",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD11796",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD12846",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD14763",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD15853",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE 'B' RAILROAD",
            "identifier": "CP2650",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Physical Therapy
• Pacific Professional Services, LLC
• Pacific Psychiatric Services, LLC
• Pacific Psychology Services Center, LLC
• Pacific Radiation Oncology LLC
• Pacific Rim Play Therapy LLC
• Pacific Shores Psychology LLC
• Pacific Sports & Rehabilitation Center, LLC
• Pacific Sports Rehab,LLC
• Pacific Star . Inc

• All providers in Honolulu, HI
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.