Individual provider Active NPI

Kenneth J Filbeck, M.D.

  • General Practice Physician
  • Kailua, HI
National Provider Identifier
1295875680
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD-10932 Issued in HI
Practice address
354 Uluniu St Ste 404
Kailua, HI 96734-2534
Phone
(808) 380-3980
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01049730A IN
Emergency Medicine Physician 207P00000X L-0172 TX
Emergency Medicine Physician 207P00000X N-8265 AR
General Practice Physician 208D00000X MD-10932 HI Primary

Addresses

Primary practice location

354 Uluniu St Ste 404
Kailua, HI 96734-2534

Mailing address

PO Box 30318
Honolulu, HI 96820-0318

Other practice location 1

407 Uluniu Street
Suite 113
Kailua, HI 96734
Phone (808) 380-3980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180905001859 CA Practitioner - Family Practice 5193783900 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

825 Delbon Ave
Turlock, CA 95382-2016
Phone (209) 667-4200

Hospital & facility affiliations

  • Mark Twain Medical Center Hospital, San Andreas, CA, CCN 051332
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N-8265ARMDEmergency Medicine Physician
01049730AINMDEmergency Medicine Physician
L-0172TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Community Medical Team Acute Care Corporation Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Tyler Emergency Physicians Emergency Medicine Past Accepting new patients
Glen Rose Medical Foundation Inc. Emergency Medicine Past Accepting new patients
Midwest Medical Management, P.C. Emergency Medicine Past Accepting new patients
County Seat Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Sierra Rural Physicians, Inc. Emergency Medicine Past Accepting new patients
Texas Emergency Room Services, P.a. Emergency Medicine Past Accepting new patients
Glen Rose Medical Foundation Emergency Medicine Past Accepting new patients
Southside Emergency Associates Past Accepting new patients
Central California Radiology Associates Inc Past Accepting new patients
Texas Em-I Medical Services, PA Emergency Medicine Past Accepting new patients

Locations

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

1801 E March Ln
Ste C300
Stockton, CA 95210
Phone (209) 464-6422

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Organizations & group practices 15

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.

View all 15

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1295875680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30318",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968200318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 ULUNIU ST STE 404",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342534",
            "telephone_number": "808-380-3980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Uluniu Street",
            "address_2": "Suite 113",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "96734",
            "country_code": "US",
            "telephone_number": "808-380-3980",
            "fax_number": "866-296-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILBECK",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01049730A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L-0172",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "N-8265",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD-10932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.