DAWSON DERMATOLOGY
NPI 1194885582
Specialist in Honolulu, HI

Active since December 08, 2006CLIA 12D1093542 · Certificate of Compliance
1380 LUSITANA ST, SUITE 412, HONOLULU, HI 96813(808) 599-3780(808) 538-1672 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dawson Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAWSON DERMATOLOGY (NPI 1194885582) is a healthcare organization registered as a specialist in Honolulu, Hawaii and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 5, 2027 and lists Kevin L Dawson, Owner/sole Member, as its authorized official.

NPPES Registry Identity

NPI1194885582
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDAWSON DERMATOLOGY, LLC
Location Address1380 LUSITANA ST, SUITE 412Honolulu, HI 96813-2421
Mailing Address1380 Lusitana St, Suite 412Honolulu, HI 96813-2421 · (808) 599-3780 · Fax (808) 538-1672
Fax(808) 538-1672
Organization SubpartNo
Authorized OfficialKevin L DawsonOwner/sole Member · (808) 599-3780
Enumeration DateDecember 8, 2006
Last NPPES UpdateNovember 7, 2013
✔ NPI 1194885582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in HI · MD12990✔ Licensed in HI · MD1577
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1380 LUSITANA ST, Honolulu, HI 96813

Other Names 1

Doing Business AsDawson Dermatology

Other Identifiers 7

Other12D0620093HI · Clia Number
Medicare UPINI10531HI
Other00C0034110HI · Hmsa Prov # - A Izumi
Medicare UPINC98470HI
Medicaid5533560HI
Other00B0247375HI · Hmsa Prov # - K Dawson
Medicare ID-Type UnspecifiedH57344HI · Medicare Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dawson Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateHawaiiEnrollment IDO20041008000302Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Dawson Dermatology, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Dermatology
NPI 1942373865
1380 LUSITANA ST STE 412
Honolulu, HI 96813
(808) 599-3780
✔ PECOSSame address
Dermatology
NPI 1811959414
1380 LUSITANA ST STE 412
Honolulu, HI 96813
(808) 599-3780
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1316478720
1380 LUSITANA ST STE 412
Honolulu, HI 96813
(808) 599-3780
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1326205006
1380 LUSITANA ST STE 412
Honolulu, HI 96813
(808) 599-3780
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1730475633
377 KEAHOLE ST
Honolulu, HI 96825
(808) 599-3780
✔ PECOS✔ Accepts Medicare9.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 12D1093542

Dawson Dermatology LLC · Honolulu, HI
Active · expires Aug 5, 2027
CLIA Number12D1093542
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorSarah J. Grekin
Laboratory Phone(808) 599-3780
Laboratory LocationDawson Dermatology LLC1380 Lusitana St Ste 412, Honolulu, HI 96813
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dawson Dermatology, LLC's NPI number?

The NPI number for Dawson Dermatology, LLC is 1194885582. It was assigned to this organization in the NPPES registry on December 8, 2006. The provider is doing business as Dawson Dermatology.

Where is Dawson Dermatology, LLC located?

Dawson Dermatology, LLC is located at 1380 Lusitana St Suite 412, Honolulu, HI 96813. The listed phone number is (808) 599-3780.

What is Dawson Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dawson Dermatology, LLC enrolled in Medicare?

Yes. Dawson Dermatology, LLC is registered in the Medicare PECOS enrollment system.

When is Dawson Dermatology, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dawson Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to Dawson Dermatology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dawson Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 12D1093542) is associated with this NPI, valid through August 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dawson Dermatology, LLC accept?

Health plans from HMSA list Dawson Dermatology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dawson Dermatology, LLC was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.