DR. JACOB ZIVOTOFSKY MD
NPI 1215107883
General Practice in Kaunakakai, HI

Q: What is Jacob Zivotofsky's NPI number?

The NPI number for Jacob Zivotofsky is 1215107883. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Q: What is Jacob Zivotofsky's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Zivotofsky was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 10, 2008PECOS Enrolled

28 KAMOI, SUITE 600, KAUNAKAKAI, HI 96748(808) 553-5038 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jacob Zivotofsky Md NPPES

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

DR. JACOB ZIVOTOFSKY MD (NPI 1215107883) is an individual general practice provider in Kaunakakai, Hawaii, licensed in Hawaii (2500) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215107883

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JACOB ZIVOTOFSKYCredential: MD

Location Address28 KAMOI, SUITE 600Kaunakakai, HI 96748-0001

Mailing Address335 Arkansas StSan Francisco, CA 94107-2812

Phone(808) 553-5038

Sole ProprietorYes

Enumeration DateMarch 10, 2008

Last NPPES UpdateDecember 1, 2021

NPPES CertifiedNovember 19, 2021

✔ NPI 1215107883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in HI · 2500

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2500 (HI)

Also ListedClinic/CenterTaxonomy 261Q00000X · License 2500 (HI)

28 KAMOI, Kaunakakai, HI 96748

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Zivotofsky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jacob Zivotofsky's NPI number?

The NPI number for Jacob Zivotofsky is 1215107883. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Jacob Zivotofsky located?

Jacob Zivotofsky practices at 28 Kamoi Suite 600, Kaunakakai, HI 96748. The listed phone number is (808) 553-5038.

What is Jacob Zivotofsky's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jacob Zivotofsky enrolled in Medicare?

Yes. Jacob Zivotofsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Zivotofsky was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.