Reginald Glenn Buesa, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD5066 Issued in HI

Practice address

53 S Puunene Ave
Kahului, HI 96732-2121

Phone

(808) 877-6020

Fax

(808) 873-0617

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• CRM Physicians, LLC

  dba Ascent Healthcare

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1952674996

  WA

  Medicare reassignment NPD
• Mark W Cheng LLC

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
  • NPI 1497251904
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1295787216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322121",
            "telephone_number": "808-877-6020",
            "fax_number": "808-873-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322121",
            "telephone_number": "808-877-6020",
            "fax_number": "808-873-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUESA",
        "first_name": "REGINALD",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD5066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01674101",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hazel Andaya Brath
• Taylor KHW Brigoli
• Angela K Brogan, PMHNP-BC
• William T. Brooks III, D.M.D.
• Kristina Leilani Brown, BCBA
• Thomas Anh Bui, PHARMD
• Holly Bullock, MD, MPH
• Jessica Elaine Bullock, NP
• Lourdes Agorra Butihi, RBT-21-179281
• Jessica Marie Bybee

• Internal Medicine Physician in Kahului, HI
• Providers in Kahului, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.