Individual provider Active NPI

Eric J Webster, MD

  • Family Medicine Physician
  • Pahoa, HI
National Provider Identifier
1154818987
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-21839 Issued in HI
Practice address
15-2866 Pahoa Village Rd
Pahoa, HI 96778-7720
Phone
(808) 333-3600
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR0062840 CO
Family Medicine Physician 207Q00000X MD-21839 HI Primary

Addresses

Primary practice location

15-2866 Pahoa Village Rd
Pahoa, HI 96778-7720

Mailing address

75-5751 Kuakini Hwy Ste 203
Kailua Kona, HI 96740-1753
Phone (808) 333-3600

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
I20220328001159 HI Practitioner - Family Practice 5193070860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Clinic IncGroup PAC ID 5890699037, 28 clinicians
West Hawaii Community Health Center IncGroup PAC ID 1557389400, 63 clinicians

Practice addresses (Care Compare)

1178 Kinoole St
Hilo, HI 96720-7206
Phone (808) 969-1427

15 -2866 Pahoa Village Rd
Pahoa, HI 96778-7720

Hospital & facility affiliations

  • Dba Hawai'I Care Choices Hospice, Hilo, HI, CCN 121503
  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0062840COMDFamily Medicine Physician

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
West Hawaii Community Health Center, Inc. CurrentSince May 7, 2024 Accepting new patients
West Hawaii Community Health Center, Inc. CurrentSince May 7, 2024 Accepting new patients

Locations

450 Kilauea Ave
Ste 103
Hilo, HI 96720
Phone (808) 933-2982

73 Puuhonu Pl
Ste 204
Hilo, HI 96720
Phone (808) 333-3500

450 Kilauea Ave
Ste 105
Hilo, HI 96720
Phone (808) 961-4071

1178 Kinoole St
Hilo, HI 96720
Phone (808) 961-4082

75-5751 Kuakini Hwy
Ste 203
Kailua Kona, HI 96740
Phone (808) 326-3878

75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740

16-192 Pili Mua St
Keaau, HI 96749
Phone (808) 930-0040

81-6627 Mamalahoa Hwy
Ste 106
Kealakekua, HI 96750
Phone (808) 322-8005

81-980 Halekii St
Ste 107
Kealakekua, HI 96750
Phone (808) 324-0703

15-2866 Pahoa Village Rd
Bldg F
Pahoa, HI 96778
Phone (808) 825-8275

15-2866 Pahoa Village Rd
Pahoa, HI 96778
Phone (808) 965-0880

15-2866 Pahoa Village Rd
Bldg C
Pahoa, HI 96778
Phone (808) 965-9711

Networks

  • HI PPO

Interoperability endpoints

  • Direct secure messaging: eric.webster.2@15452.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1154818987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401753",
            "telephone_number": "808-333-3600",
            "fax_number": "808-961-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-2866 PAHOA VILLAGE RD",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967787720",
            "telephone_number": "808-333-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0062840",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-21839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahoa, HI

Sources for this page

Verify at the official NPI Registry.