Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639263114 Individual Practitioner Male Practitioner

Dr. Kenneth D. Dougan , MD

Pediatrics • Honolulu, HI

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Dougan, MD is a registered healthcare professional specializing in Pediatrics in Honolulu, HI. Practice services are available at 3288 MOANALUA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3288 Moanalua Rd

Honolulu, HI 968191469

Telephone 8084320000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Honolulu, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
211 Specialists

Practicing in Honolulu, HI (427 Statewide)

Telehealth Adoption Rate
0.5% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License HI MD-6817

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
055505-01 (HI)
Commercial Insurance / Payer ID Hmsa Billing Number
0000094730 (HI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003009283

Doctor of Medicine (M.D.)

Chong An , APRN-BC

Nurse Practitioner

NPI 1003027319

APRNBC

Dr. Isac Thomas , MD

Internal Medicine - Cardiovascular Disease

NPI 1003129388

Doctor of Medicine (M.D.)

Aileen Tamura

Hospitalist

NPI 1003203167
Xiaojin Zhou , APRN, BC

Nurse Practitioner - Family

NPI 1003859307

Advanced Practice Registered Nurse, BC

Marc Albertson , PA-C

Physician Assistant - Medical

NPI 1003933078

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 11, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2007

Registered at 3288 MOANALUA RD, HONOLULU, HI 968191469 (Tel: 8084320000)

📍
Updated Business Mailing Address October 11, 2007

Registered at 3288 MOANALUA RD, HONOLULU, HI 968191469 (Tel: 8084320000)

👤
Provider Name / Credentials Updated October 11, 2007

Recorded as KENNETH DOUGAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2007

Pediatrics (License #MD-6817 in HI)

🟢
Initial NPI Registration & Enumeration October 02, 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: 1639263114
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: October 11, 2007
Sole Proprietor: No

Mailing Address

3288 Moanalua Rd

Honolulu, HI 968191469

Phone: 8084320000

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.