Active NPI
Joseph Pummer, MBBS
- Family Medicine Physician
- Waimanalo, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22713
- Practice address
- 41-1295 Kalanianaole Hwy
Waimanalo, HI 96795-1536 - Phone
- (808) 259-7948
- NPI assigned
- May 4, 2016
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME153615 | FL | |
| Family Medicine Physician | 207Q00000X | 87161 | MT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MED-RES-LIC 52156 | MT | |
| Family Medicine Physician | 207Q00000X | 22713 | HI | Primary |
Addresses
Primary practice location
41-1295 Kalanianaole Hwy
Waimanalo, HI 96795-1536
Mailing address
41-1295 Kalanianaole Hwy
Waimanalo, HI 96795-1536
Phone (808) 259-7948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, HI
- 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
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
660 Kailua Rd
Kailua, HI 96734-2809
Phone (808) 263-2273
Hospital & facility affiliations
- Adventist Health Castle
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME153615 | FL | MD | Family Medicine Physician |
| 22713 | HI | MD | Family Medicine Physician |
| 87161 | MT | MD | Family Medicine Physician |
| MED-RES-LIC 52156 | MT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Castle Physician Network | Family Medicine | Current | Accepting new patients |
| Castle Physician Network | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Waimanalo Health Center | Current | Accepting new patients |
Locations
660 Kailua Rd
Kailua, HI 96734
Phone (808) 263-2273
1245 Kuala St
Ste 103
Pearl City, HI 96782
Phone (808) 456-2273
41-1295 Kalanianaole Hwy
Waimanalo, HI 96795
Phone (808) 259-7948
41-1347 Kalanianaole Hwy
Waimanalo, HI 96795
Phone (808) 259-5466
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Waimanalo, HI
- NPI 1780738005
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Urgent Care Clinic/Center
- Kailua, HI
- NPI 1043974538
-
- Federal Public Health Clinic/Center
- Tohatchi, NM
- NPI 1902875594
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1376998799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41-1295 KALANIANAOLE HWY",
"city": "WAIMANALO",
"state": "HI",
"postal_code": "967951536",
"telephone_number": "808-259-7948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41-1295 KALANIANAOLE HWY",
"city": "WAIMANALO",
"state": "HI",
"postal_code": "967951536",
"telephone_number": "808-259-7948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUMMER",
"first_name": "JOSEPH",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME153615",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "87161",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MT",
"license": "MED-RES-LIC 52156",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "22713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waimanalo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.