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DR. JACKSON FRIEDMAN DO
NPI 1457419228
Neuromusculoskeletal Medicine & OMM in Kula, HI

Active since December 05, 2006Opted out of Medicare · through Jul 1, 2028

NPPES record last updated: May 14, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Jackson Friedman Do NPPES

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

DR. JACKSON FRIEDMAN DO (NPI 1457419228) is an individual neuromusculoskeletal medicine & omm provider in Kula, Hawaii, licensed in Hawaii (1397) and active in the NPI registry since December 2006. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457419228
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameDR. JACKSON FRIEDMANCredential: DO
Location Address100 KEOKEA PLKula, HI 96790-7450
Mailing AddressPo Box 840Kula, HI 96790-0840 · (808) 354-1698
Phone(808) 354-1698
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateMay 14, 2016
✔ NPI 1457419228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in HI · 1397
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Also ListedNeuromusculoskeletal Medicine, Sports MedicineTaxonomy 204C00000X · License 237180 (NY)
100 KEOKEA PL, Kula, HI 96790
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jackson Friedman Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2016 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2016
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KULA HOSPITAL
General Acute Care Hospital (Critical Access)
100 KEOKEA PL
KULA, HI 96790
Maui County (808) 878-1221
DR. RICHARD C. WEILAND MD
Emergency Medicine (Emergency Medical Services)
100 KEOKEA PL, KULA HOSPITAL
KULA, HI 96790
Maui County (808) 876-4307
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
Medicare Defined Swing Bed Unit
100 KEOKEA PL
KULA, HI 96790
Maui County (808) 878-1221
DAVID DOWHAN M.D.
Emergency Medicine
100 KEOKEA PL
KULA, HI 96790
Maui County (808) 878-1221
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
Nursing Facility/Intermediate Care Facility
100 KEOKEA PL
KULA, HI 96790
Maui County (808) 878-1221
KULA HOSPITAL
Pharmacy
100 KEOKEA PL
KULA, HI 96790
Maui County (808) 876-4307
KULA HOSPITAL
Nursing Facility/Intermediate Care Facility
100 KEOKEA PL
KULA, HI 96790
Maui County (808) 878-1221
DANE TADASHI KUROHARA
Internal Medicine
100 KEOKEA PL
KULA, HI 96790
Maui County (808) 876-4331

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 Jackson Friedman's NPI number?

The NPI number for Jackson Friedman is 1457419228. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Jackson Friedman located?

Jackson Friedman practices at 100 Keokea Pl, Kula, HI 96790. The listed phone number is (808) 354-1698.

What is Jackson Friedman's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Jackson Friedman enrolled in Medicare?

No. Jackson Friedman has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jackson Friedman was last updated on May 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.