Active NPI
Benjamin M Ono, MD
- Internal Medicine Physician
- Hilo, HI
National Provider Identifier
1417912205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD2479
- Practice address
- 1248 Kinoole St
Ste 103
Hilo, HI 96720 - Phone
- (808) 935-7137
- Fax
- (808) 934-0006
- NPI assigned
- Apr 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD2479 | HI | Primary |
Addresses
Primary practice location
1248 Kinoole St
Ste 103
Hilo, HI 96720
Mailing address
1248 Kinoole St
Ste 103
Hilo, HI 96720-4171
Phone (808) 935-7137
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54171 | Other | HI | HMSA |
| 04764001 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2479 | HI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecare Hawaii LLC | Past | Accepting new patients | |
| Eye Q Hawaii, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDIGAA/Endpoint/DDIGAA
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Hilo, HI
- NPI 1326660507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518393600000",
"number": "1417912205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1248 KINOOLE ST",
"address_2": "STE 103",
"city": "HILO",
"state": "HI",
"postal_code": "967204171",
"telephone_number": "808-935-7137",
"fax_number": "808-934-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 KINOOLE ST",
"address_2": "STE 103",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-935-7137",
"fax_number": "808-934-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONO",
"first_name": "BENJAMIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2018-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD2479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "54171",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04764001",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.