Individual provider Active NPI

Benjamin Michael Weissman, M.D.

  • Emergency Medicine Physician
  • Aiea, HI
National Provider Identifier
1710419742
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-23373 Issued in HI
Practice address
98-1079 Moanalua Rd
Aiea, HI 96701-4713
Phone
(626) 321-6317
NPI assigned
Mar 29, 2017
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD-23373 HI Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD-23373 HI

Addresses

Primary practice location

98-1079 Moanalua Rd
Aiea, HI 96701-4713

Mailing address

65 Kaiholu PL
Kailua, HI 96734-1928
Phone (626) 321-6317

Other practice location 1

1319 Punahou St
Honolulu, HI 96826-1001
Phone (626) 321-6317

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
I20230828002381 HI Practitioner - Emergency Medicine 0345603197 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Emergency Physicians Associated IncGroup PAC ID 2860390283, 119 clinicians

Practice addresses (Care Compare)

128 Lehua St
Wahiawa, HI 96786-2036
Phone (808) 621-8411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.94 of 100Reported as group
Quality
94.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-23373HIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Honolulu Pali Momi, LLC Emergency Medicine CurrentSince Jul 5, 2023 Accepting new patients
Emergency Medicine Physicians of Honolulu Kapiolani, LLC Emergency Medicine CurrentSince Jul 5, 2023 Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients
Kings County Hospital Center Past Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

56-117 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9221

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

128 Lehua St
Wahiawa, HI 96786
Phone (808) 621-4330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1710419742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 KAIHOLU PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341928",
            "telephone_number": "626-321-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "626-321-6317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 Punahou St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968261001",
            "country_code": "US",
            "telephone_number": "626-321-6317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-23373",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "HI",
            "license": "MD-23373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.