Kourt Bacon, DO
NPI 1710449012ActiveIndividual· Anesthesiology· Tripler Army Medical Center, HI
Anesthesiology (DO) with Straub Clinic and Hospital and 1 other group, practicing in Tripler Army Medical Center, Hawaii. Enrolled in Medicare as practitioner - anesthesiology. Lists Straub Clinic and Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1710449012 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Apr 4, 2019 |
| Last updated in NPPES | Jul 11, 2023 |
| Certified by provider | Jul 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 0102206358 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (HI) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Anesthesiology |
Medical groups
- Straub Clinic and HospitalHonolulu, HI · 419 clinicians
- Kauai Medical ClinicLihue, HI · 147 clinicians
Hospital affiliations
- Straub Clinic and HospitalHonolulu, HI
- Wilcox Memorial HospitalLihue, HI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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