Active NPI
Dan Bendtsen, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Kailua, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 13113
- Practice address
- 640 Ulukahiki St
Kailua, HI 96734-4454 - Phone
- (808) 263-5500
- NPI assigned
- Jun 1, 2007
- Last updated
- Jun 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363396 | Medicaid | AZ | |
| 1306048400 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13113 | HI | MD | Anesthesiology Physician |
| 12737 | NV | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Specialists Associates PC | Anesthesiology | Current | Accepting new patients |
| Critical Care Hawaii LLC | Current | 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.
-
- Critical Care Medicine (Anesthesiology) Physician
- Kailua, HI
- NPI 1275970915
-
- Anesthesiology Physician
- Clearlake, CA
- NPI 1326404948
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1215939335
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.