DR. JUSTIN PAUL DODGE (M.D.) – Diagnostic Radiology Physician, NPI 1235112962
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
185 DIAGNOSTIC RADIOLOGY in HI
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Provider Addresses for DR. JUSTIN PAUL DODGE (M.D.)
Tripler Army Medical Center, 1, Jarrett White Road, Moanalua Gardens, Honolulu, Honolulu County, Hawaii, 96859, United States
TRIPLER AMC, HI 968595001
Phone: (808) 433-6669
Type: Location
800 Meadows Rd
Boca Raton, FL 334862304
Phone: (904) 399-5800
Type: Location
Haea Place, Kupuna Loop + Kupuohi Street, Royal Kunia, Waipahu, Honolulu County, Hawaii, 96797, United States
WAIPAHU, HI 967975455
Phone:
Type: Mailing
9040 JACKSON AVE
TACOMA, WA 984315001
Phone: (253) 968-4978
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: 2025-09-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240109001940 | I | Diagnostic Radiology | WA | TBD |
| I20250117002519 | I | Diagnostic Radiology | PA | TBD |
| I20250903001202 | I | Diagnostic Radiology | NY | TBD |
| I20250909003875 | I | Diagnostic Radiology | MO | TBD |
| I20250911001692 | I | Diagnostic Radiology | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96859)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IN | |
| - | WI | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | CA |
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