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Deactivated NPI 1053472472 Deactivated / Inactive NPI Male Practitioner

Dr. Michael John Mcdonald , MD

General Practice • Haiku, HI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Mcdonald has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 12, 2006
NPI Deactivation Date December 19, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mcdonald, MD was a registered General Practice practicing in Haiku, HI. Throughout an active medical career spanning 18 years, Dr. Mcdonald provided care at the practice location at 810 HAIKU ROAD until profile deactivation on 2024-12-19.

Practice Location & Contact Primary Location

Practice Address

810 Haiku Road
Suite 150

Haiku, HI 96708

Telephone 8085757531
Fax 8085757532

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Haiku, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Haiku, HI (183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License HI 1265

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 19, 2024

Record deactivated on December 19, 2024

NPI Profile Active November 29, 2012

NPI status registered as active in NPPES database

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Updated Practice Location November 29, 2012

Registered at 810 HAIKU ROAD, SUITE 150, HAIKU, HI 96708 (Tel: 8085757531)

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Updated Business Mailing Address November 29, 2012

Registered at PO BOX 810, SUITE 150, HAIKU, HI 96708 (Tel: 8085757531)

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Provider Name / Credentials Updated November 29, 2012

Recorded as MICHAEL MCDONALD, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2012

General Practice (License #1265 in HI)

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Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053472472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: November 29, 2012
Deactivation Date: December 19, 2024

Mailing Address

Po Box 810, Suite 150

Haiku, HI 96708

Phone: 8085757531

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.