DR. BEAU DYLAN K FERN (M.D.) – Internal Medicine Physician, NPI 1558620567

DR. BEAU DYLAN K FERN (M.D.) is a healthcare provider. based in Ewa beach, Hawaii. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD-18036 (HI). The NPI Number for DR. BEAU DYLAN K FERN (M.D.) is 1558620567

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. BEAU DYLAN K FERN (M.D.)
NPI
1558620567
Phone
(808) 691-3190
Address
91-2141 FORT WEAVER RD
Enumeration Date
10 May 2012
Last Update Date
27 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8085535331
Graduation Year
2012 (14 years ago)
PAC ID
7113232612
Group Practice PAC ID
2264322874
Professional Enrollment ID
I20150812008750
Address ID
HI967489998KA280XXPLXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

818 INTERNAL MEDICINE in HI

Provider Addresses for DR. BEAU DYLAN K FERN (M.D.)

  • 91-2141 FORT WEAVER RD

    EWA BEACH, HI 967061993

    Phone: (808) 691-3190

    Type: Mailing

  • 1356 LUSITANA ST

    7TH FLOOR

    HONOLULU, HI 96813

    Phone: (808) 586-2910

    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: 2015-08-12

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
I20150812008750IInternal MedicineHITBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes34396$0
99239Hospital discharge day management, more than 30 minutes7371$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 96706)

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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: 2264322874View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)RI
Certified Nurse Midwife (Cnm)OR
H O S P I T A L I S TCA
Internal MedicineHI
Family PracticeHI
Internal MedicineHI
Family PracticeCO
Family PracticeHI
Certified Nurse Midwife (Cnm)NM
Family PracticeHI

Reviews

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Frequently asked questions

What is the registry number for DR. BEAU DYLAN K FERN (M.D.)?
The registry entry for DR. BEAU DYLAN K FERN (M.D.) shows NPI 1558620567.
Is DR. BEAU DYLAN K FERN (M.D.)'s NPI status active today?
Active status means DR. BEAU DYLAN K FERN (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. BEAU DYLAN K FERN (M.D.)'s listing?
DR. BEAU DYLAN K FERN (M.D.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. BEAU DYLAN K FERN (M.D.)?
DR. BEAU DYLAN K FERN (M.D.) shows a connection to Ewa Beach, Hawaii in registry-derived data.
Who maintains DR. BEAU DYLAN K FERN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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