NPIMap

Individual provider Active NPI

Michael Darren Bennett, M.D.

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1043274111
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD10612 Issued in HI
Practice address
1620 Ala Moana Blvd
Suite 500
Honolulu, HI 96815-1457
Phone
(808) 955-0255
Fax
(808) 955-4155
NPI assigned
Apr 14, 2006
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD10612 HI Primary

Addresses

Primary practice location

1620 Ala Moana Blvd
Suite 500
Honolulu, HI 96815-1457

Mailing address

PO Box 1300
Mailcode 61323
Honolulu, HI 96807-1300
Phone (808) 955-0255

Other identifiers 7

IdentifierTypeStateIssuer
25205304MedicaidHI
00E0215904OtherHIHMSA WAHIAWA LOC PROV#
25205302MedicaidHI
00K0215901OtherHIHMSA HONOLULU PROV#
25205301MedicaidHI
00I0215906OtherHIHMSA KONA LOCATION PROV#
00L0215909OtherHIHMSA QUEENS LOC PROV#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041115001110 HI Practitioner - Ophthalmology 7517921034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Institute of Hawaii LLCGroup PAC ID 1254360647, 6 clinicians

Practice addresses (Care Compare)

1620 Ala Moana Blvd
Suite 500
Honolulu, HI 96815-1437
Phone (808) 955-0255

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD10612HIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of Hawaii LLC Ophthalmology CurrentSince Jul 1, 2001 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Mar 6, 2019 Accepting new patients
Retina Institute of Hawaii LLC Ophthalmology CurrentSince Aug 1, 2005 Accepting new patients
Eyeland Wellness LLC Ophthalmology PastSince Oct 13, 2024 Accepting new patients
Center for Sight LLC Ophthalmology PastSince Jun 27, 2010 Accepting new patients
Retina Institute of Hawaii LLC Past Accepting new patients
Hale Maka Ike LLC PastSince May 1, 2012 Accepting new patients
Center for Sight - West Oahu LLC Ophthalmology PastSince Oct 1, 2012 Accepting new patients
Island Eye Care, Inc Ophthalmology PastSince Jan 1, 2006 Accepting new patients
Hawaii Cataract and Laser Institute Hilo LLC Ophthalmology PastSince Apr 21, 2012 Accepting new patients

Locations

346 Waianuenue Ave
Hilo, HI 96720
Phone (808) 319-2939

1620 Ala Moana Blvd
Ste 500
Honolulu, HI 96815

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

23 Paa St
Kahului, HI 96732
Phone (808) 674-2727

75-1028 Henry St
Ste 200
Kailua Kona, HI 96740
Phone (808) 329-3937

4463 Pahee St
Ste 206
Lihue, HI 96766
Phone (808) 241-5799

606 Kilani Ave
Wahiawa, HI 96786
Phone (808) 621-8448

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reunion Rehabilitation Hospital DenverDenver, CO, CCN 063036 Hospital 5% Or Greater Indirect Ownership Interest (8.9%) Apr 24, 2025
Reunion Rehabilitation Hospital Phoenix, LLCPhoenix, AZ, CCN 033043 Hospital 5% Or Greater Indirect Ownership Interest (20.37%) Mar 7, 2026
Reunion Rehabilitation Hospital Inverness LLCEnglewood, CO, CCN 063038 Hospital 5% Or Greater Indirect Ownership Interest (20.37%) Sep 13, 2021
Pensa Nuwind, LLCPeoria, AZ, CCN 033045 Hospital 5% Or Greater Indirect Ownership Interest (19.44%) Jan 15, 2023
Reunion Rehabilitation Hospital Plano, LLCPlano, TX, CCN 673080 Hospital 5% Or Greater Indirect Ownership Interest (19.44%) Feb 13, 2023
Pensa Nuwind, LLCArlington, TX, CCN 673081 Hospital 5% Or Greater Indirect Ownership Interest (19.44%) Feb 7, 2023
Pensa Nuwind, LLCJacksonville, FL, CCN 103063 Hospital 5% Or Greater Indirect Ownership Interest (19.44%) Jul 27, 2023

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1043274111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "address_2": "MAILCODE 61323",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968071300",
            "telephone_number": "808-955-0255",
            "fax_number": "808-955-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ALA MOANA BLVD",
            "address_2": "SUITE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151457",
            "telephone_number": "808-955-0255",
            "fax_number": "808-955-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MICHAEL",
        "middle_name": "DARREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD10612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25205304",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA WAHIAWA LOC PROV#",
            "identifier": "00E0215904",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25205302",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA HONOLULU PROV#",
            "identifier": "00K0215901",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25205301",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA KONA LOCATION PROV#",
            "identifier": "00I0215906",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEENS LOC PROV#",
            "identifier": "00L0215909",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.