Individual provider Active NPI

Heather Irene Bejenaru, M.D.

  • Family Medicine Physician
  • Kihei, HI
National Provider Identifier
1154498665
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11954 Issued in HI
Practice address
161 Wailea Ike PL Ste A104
Kihei, HI 96753-6502
Phone
(808) 875-0511
Fax
(808) 875-8595
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 11954 HI
Family Medicine Physician 207Q00000X 11954 HI Primary

Addresses

Primary practice location

161 Wailea Ike PL Ste A104
Kihei, HI 96753-6502

Mailing address

41 E. Lipoa Street
Suite 21
Kihei, HI 96753
Phone (808) 875-0511

Other identifiers 1

IdentifierTypeStateIssuer
0000238782OtherHIHMSA BILLING NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070625000310 HI Practitioner - Family PracticePractitioner - Dermatology 1850490343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Dermatology
Education
University of California, San Francisco School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George M Martin MD, IncGroup PAC ID 6507907656, 2 clinicians

Practice addresses (Care Compare)

161 Wailea Ike PL
Suite A104
Kihei, HI 96753-6502
Phone (808) 875-0511

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
100
Promoting interoperability
93
Improvement activities
40
Cost
84.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision106
Removal of skin lesions462
Removal or shaving of skin growth1-10
Skin biopsy277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11954HIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George M Martin MD, Inc CurrentSince Jun 1, 2017 Accepting new patients
Brian a. Stolley MD, Inc Past Accepting new patients

Locations

41 E Lipoa St
Ste 21
Kihei, HI 96753
Phone (808) 875-0511

161 Wailea Ike Pl
Ste A104
Wailea, HI 96753
Phone (808) 757-6106

Interoperability endpoints

  • Direct secure messaging: hbejenaru@directaddress.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1154498665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E. LIPOA STREET",
            "address_2": "SUITE 21",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "96753",
            "telephone_number": "808-875-0511",
            "fax_number": "808-875-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WAILEA IKE PL STE A104",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536502",
            "telephone_number": "808-875-0511",
            "fax_number": "808-875-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJENARU",
        "first_name": "HEATHER",
        "middle_name": "IRENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "11954",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "11954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000238782",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

Verify at the official NPI Registry.