Individual provider Active NPI

Dan Bendtsen, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Kailua, HI
National Provider Identifier
1306048400
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
13113 Issued in HI
Practice address
640 Ulukahiki St
Kailua, HI 96734-4454
Phone
(808) 263-5500
NPI assigned
Jun 1, 2007
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 12737 NV
Anesthesiology Physician 207L00000X 13113 HI
Pain Medicine (Anesthesiology) Physician 207LP2900X 13113 HI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 13113 HI Primary

Addresses

Primary practice location

640 Ulukahiki St
Kailua, HI 96734-4454

Mailing address

PO Box 22562
Honolulu, HI 96823-2562
Phone (808) 375-3249

Other identifiers 2

IdentifierTypeStateIssuer
363396MedicaidAZ
1306048400MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120827000320 HI Practitioner - Critical Care (Intensivists)Practitioner - Anesthesiology 1254490998 Reassigns benefits to 1 organization
I20260204000179 CA Practitioner - Anesthesiology 1254490998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Specialists Associates PCGroup PAC ID 1557669439, 8 clinicians
Critical Care Hawaii LLCGroup PAC ID 5395988315, 4 clinicians

Practice addresses (Care Compare)

15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 744-1275

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13113HIMDAnesthesiology Physician
12737NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists Associates PC Anesthesiology CurrentSince Dec 8, 2025 Accepting new patients
Critical Care Hawaii LLC CurrentSince Aug 1, 2013 Accepting new patients

Locations

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

180 Rowland Way
Novato, CA 94945
Phone (415) 209-1300

19270 Highway 12
Sonoma, CA 95476
Phone (707) 939-6070

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1306048400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22562",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968232562",
            "telephone_number": "808-375-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ULUKAHIKI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344454",
            "telephone_number": "808-263-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDTSEN",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "12737",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "13113",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "HI",
            "license": "13113",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "HI",
            "license": "13113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363396",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306048400",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.