Individual provider Active NPI

Joseph Pummer, MBBS

  • Family Medicine Physician
  • Waimanalo, HI
National Provider Identifier
1376998799
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22713 Issued in HI
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

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, HI2 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
I20201215001092 TX Practitioner - Family PracticePractitioner - Internal Medicine 8527353168 Reassigns benefits to 1 organization
I20220818003595 HI Practitioner - Family Practice 8527353168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Castle Physician NetworkGroup PAC ID 6709177686, 15 clinicians

Practice addresses (Care Compare)

660 Kailua Rd
Kailua, HI 96734-2809
Phone (808) 263-2273

Hospital & facility affiliations

  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME153615FLMDFamily Medicine Physician
22713HIMDFamily Medicine Physician
87161MTMDFamily Medicine Physician
MED-RES-LIC 52156MTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Sep 9, 2020 Accepting new patients
Castle Physician Network Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Castle Physician Network Current Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Sep 9, 2020 Accepting new patients
Waimanalo Health Center CurrentSince Aug 1, 2022 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.