KOURT BACON DO
NPI 1710449012
Anesthesiology in Tripler Army Medical Center, HI

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859(971) 732-3174 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2023, Apr 4, 2019 (2 updates tracked since 2019).

About Kourt Bacon Do NPPES

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

KOURT BACON DO (NPI 1710449012) is an individual anesthesiology provider in Tripler Army Medical Center, Hawaii, licensed in Virginia (0102206358) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710449012
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameKOURT BACONCredential: DO
Location Address1 JARRETT WHITE RDTripler Army Medical Center, HI 96859-5001
Mailing Address1 Jarrett White RdTripler Army Medical Center, HI 96859-5001
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1710449012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in VA · 0102206358
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kourt Bacon Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123562592
PECOS Enrollment IDI20240627000753
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120022
Location888 S King StreetHonolulu, HI 96813 · Honolulu County
Emergency services

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.

Hospitalist
1 JARRETT WHITE RD, DEPT OF MEDICINE (MCHK-DM)
TRIPLER ARMY MEDICAL CENTER, HI 96859
Registered Nurse
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TAMC, HI 96859
Registered Nurse (Medical-Surgical)
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER AMC, HI 96859
Nurse Anesthetist, Certified Registered
1 JARRETT WHITE RD, ATTN: MCHK-QS
TRIPLER AMC, HI 96859
Licensed Practical Nurse
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
TRIPLER AMC, HI 96859
Internal Medicine (Hematology & Oncology)
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, ATTN:MCHK-QS
TRIPLER AMC, HI 96859
Registered Nurse
1 JARRETT WHITE RD, AMC
TAMC, HI 96859
Internal Medicine (Pulmonary Disease)
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TAMC, HI 96859

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 Kourt Bacon's NPI number?

The NPI number for Kourt Bacon is 1710449012. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Kourt Bacon located?

Kourt Bacon practices at 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859. The listed phone number is (971) 732-3174.

What is Kourt Bacon's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kourt Bacon enrolled in Medicare?

Yes. Kourt Bacon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kourt Bacon affiliated with any hospitals?

According to CMS data, Kourt Bacon is affiliated with Wilcox Memorial Hospital and Straub Clinic And Hospital.

When was this NPI record last updated?

The NPPES record for Kourt Bacon was last updated on July 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.