Active NPI
Glenn Todd Bessinger, M.D., PH.D.
- Dermatology Physician
- Kailua, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD13649
- Practice address
- 970 N Kalaheo Ave Ste C108
Kailua, HI 96734-1871 - Phone
- (808) 218-7889
- NPI assigned
- Oct 22, 2005
- Last updated
- Sep 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD31931 | DC | |
| Dermatology Physician | 207N00000X | 8214A | WY | |
| Dermatology Physician | 207N00000X | MD13649 | HI | Primary |
Addresses
Primary practice location
970 N Kalaheo Ave Ste C108
Kailua, HI 96734-1871
Mailing address
1029 Kapahulu Ave
Suite 503
Honolulu, HI 96816-1332
Phone (808) 218-7889
Other practice location 1
1029 Kapahulu Ave
Suite 503
Honolulu, HI 96816-1332
Phone (808) 218-7889
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Tulane University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
970 N Kalaheo Ave
Suite C108
Kailua, HI 96734-1871
Phone (800) 218-7889
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.06 of 100
- Quality
- 83.75
- Promoting interoperability
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 281 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1364 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 349 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD31931 | DC | MD | Dermatology Physician |
| MD13649 | HI | MD | Dermatology Physician |
| 8214A | WY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Dermatology Centers, Inc | Current | Accepting new patients |
Locations
1029 Kapahulu Ave
Ste 503
Honolulu, HI 96816
Phone (808) 218-7889
4747 Kilauea Ave
Ste 104
Honolulu, HI 96816
Phone (808) 218-7889
6700 Kalanianaole Hwy
Ste 217
Honolulu, HI 96825
Phone (808) 218-7889
407 Uluniu St
Ste 314
Kailua, HI 96734
Phone (808) 218-7889
970 N Kalaheo Ave
Ste C108
Kailua, HI 96734
Phone (800) 218-7889
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.
-
dba Hawaii Dermatology and plastic Surgery Centers
- Specialist
- Kailua, HI
- NPI 1215298864
-
- Dermatology Physician
- Honolulu, HI
- NPI 1851593420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1346230273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 KAPAHULU AVE",
"address_2": "SUITE 503",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968161332",
"telephone_number": "808-218-7889",
"fax_number": "808-218-7891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 N KALAHEO AVE STE C108",
"city": "KAILUA",
"state": "HI",
"postal_code": "967341871",
"telephone_number": "808-218-7889"
}
],
"practiceLocations": [
{
"address_1": "1029 Kapahulu Ave",
"address_2": "Suite 503",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968161332",
"country_code": "US",
"telephone_number": "808-218-7889",
"fax_number": "808-218-7891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BESSINGER",
"first_name": "GLENN",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-22",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "DC",
"license": "MD31931",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WY",
"license": "8214A",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "HI",
"license": "MD13649",
"primary": true
}
],
"identifiers": [],
"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 Sep 24, 2019; 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.