Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Kawaoka, MD

Individual provider Dermatology Physician · NPI 1689899742

Dr. John Kawaoka, MD is a Dermatology in Providence, Rhode Island. Graduated from Warren Alpert Medical School of Brown University in 2004, 22 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
22
Trained at
Warren Alpert Medical School of Brown University
Licensed in
RI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

593 Eddy St APC-10
Providence, RI 02903-4923
Phone: (401) 444-7959
Fax: (401) 444-7144
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD12497 (RI)

Record details

NPI number1689899742
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence