Individual provider Active NPI

Glenn Todd Bessinger, M.D., PH.D.

  • Dermatology Physician
  • Kailua, HI
National Provider Identifier
1346230273
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD13649 Issued in HI
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070523000245 HI Practitioner - Dermatology 7315044500 Reassigns benefits to 1 organization

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
Hawaii Dermatology Centers IncGroup PAC ID 3274782586, 12 clinicians

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 100Reported as group
Quality
83.75
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision281
Removal of tissue1-10
Removal of skin lesions1364
Removal or shaving of skin growth1-10
Skin biopsy349

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31931DCMDDermatology Physician
MD13649HIMDDermatology Physician
8214AWYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Dermatology Centers, Inc CurrentSince Jan 21, 2013 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.

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

Verify at the official NPI Registry.