NPIMap

Individual provider Active NPI

David P. Dalzell, M.D.

  • Diagnostic Radiology Physician
  • Kahului, HI
National Provider Identifier
1881608271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD8896 Issued in HI
Practice address
2 Kiekiena PL
Kahului, HI 96732-3219
Phone
(888) 318-8900
Fax
(408) 370-9131
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD8896 HI Primary

Addresses

Primary practice location

2 Kiekiena PL
Kahului, HI 96732-3219

Mailing address

PO Box 320757
Los Gatos, CA 95032-0112
Phone (888) 318-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040412000402 HI Practitioner - Diagnostic Radiology 0547253338 Reassigns benefits to 2 organizations
I20121107000456 OH Practitioner - Diagnostic Radiology 0547253338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Hawaii John a. Burns School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, shared by 14 NPIs, 6,954 clinicians
Clinic Medical Services CompanyGroup PAC ID 5698674653, 201 clinicians

Practice addresses (Care Compare)

2 Kiekiena PL
Kahului, HI 96732-3219
Phone (216) 448-0212

67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 881-4455

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD8896HIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium Current Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dpdalzell@direct.anthc.org
  • Direct secure messaging: ddalzell85054@direct.ccf.org

Organizations & group practices 6

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 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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881608271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320757",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950320112",
            "telephone_number": "888-318-8900",
            "fax_number": "408-370-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KIEKIENA PL",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323219",
            "telephone_number": "888-318-8900",
            "fax_number": "408-370-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALZELL",
        "first_name": "DAVID",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD8896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.