Individual provider Active NPI

John M Dawson, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Kamuela, HI
National Provider Identifier
1932291978
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
2809 Issued in HI
Practice address
67-1123 Mamalahoa Hwy
Suite 128
Kamuela, HI 96743-8451
Phone
(808) 885-0342
Fax
(808) 885-1795
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 2809 HI Primary

Addresses

Primary practice location

67-1123 Mamalahoa Hwy
Suite 128
Kamuela, HI 96743-8451

Mailing address

67-1123 Mamalahoa Hwy
Suite 128
Kamuela, HI 96743-8451
Phone (808) 885-0342

Other identifiers 2

IdentifierTypeStateIssuer
0000043299OtherHIHMSA
03948901MedicaidHI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000683 HI Practitioner - Internal Medicine 1557354537 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2809HIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamakua Health Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Hamakua Health Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients

Locations

45-549 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7204

67-1123 Mamalahoa Hwy
Ste 134
Kamuela, HI 96743
Phone (808) 775-7204

Interoperability endpoints

  • Direct secure messaging: john.dawson@hawaiihie.medicity.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1932291978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-1123 MAMALAHOA HWY",
            "address_2": "SUITE 128",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438451",
            "telephone_number": "808-885-0342",
            "fax_number": "808-885-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67-1123 MAMALAHOA HWY",
            "address_2": "SUITE 128",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438451",
            "telephone_number": "808-885-0342",
            "fax_number": "808-885-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "HI",
            "license": "2809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000043299",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03948901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.