DR. MICHAEL HAROLD DOHERTY (M.D.) – Diagnostic Radiology Physician, NPI 1043590540

DR. MICHAEL HAROLD DOHERTY (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD60852442 (WA). The NPI Number for DR. MICHAEL HAROLD DOHERTY (M.D.) is 1043590540

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL HAROLD DOHERTY (M.D.)
NPI
1043590540
Phone
(808) 586-2890
Address
1356 LUSITANA ST STE 510
Enumeration Date
28 August 2011
Last Update Date
22 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
6143407740
Graduation Year
2013 (13 years ago)
PAC ID
6709132145
Group Practice PAC ID
8729976964
Professional Enrollment ID
I20190708001891
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

185 DIAGNOSTIC RADIOLOGY in HI

Provider Addresses for DR. MICHAEL HAROLD DOHERTY (M.D.)

  • 1356 LUSITANA ST STE 510

    HONOLULU, HI 968132409

    Phone: (808) 586-2890

    Type: Mailing

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone:

    Type: Mailing

  • 1959 NE PACIFIC ST

    SEATTLE, WA 981952409

    Phone: (206) 520-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190708001891IDiagnostic RadiologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast459425$0
72100X-ray of lower and sacral spine, 2-3 views281246$0
70553Mri scan of brain before and after contrast192182$0
70496Ct scan of blood vessels of head with contrast167164$0
70498Ct scan of blood vessels of neck with contrast153149$0
View full utilization report →

Insurance plans in this area (ZIP 96813)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729976964View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyWI
Diagnostic RadiologyOH
-OH
Diagnostic RadiologyOH
Diagnostic RadiologyMN
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

What federal number belongs to DR. MICHAEL HAROLD DOHERTY (M.D.)?
The federal identifier for DR. MICHAEL HAROLD DOHERTY (M.D.) is NPI 1043590540.
Is DR. MICHAEL HAROLD DOHERTY (M.D.)'s NPI currently valid?
The extract we use shows DR. MICHAEL HAROLD DOHERTY (M.D.) as active.
Does DR. MICHAEL HAROLD DOHERTY (M.D.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DR. MICHAEL HAROLD DOHERTY (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. MICHAEL HAROLD DOHERTY (M.D.)?
We surface Honolulu, Hawaii for DR. MICHAEL HAROLD DOHERTY (M.D.) based on available NPPES addresses.
What if Honolulu, Hawaii seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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