Individual provider Active NPI

Benton H.H. Chun, M.D.

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1821176454
Registry record updated Nov 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3781 Issued in HI
Practice address
1329 Lusitana St
Suite 607
Honolulu, HI 96813-2429
Phone
(808) 523-8868
Fax
(808) 537-5500
NPI assigned
Nov 1, 2006
Last updated
Nov 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 3781 HI Primary

Addresses

Primary practice location

1329 Lusitana St
Suite 607
Honolulu, HI 96813-2429

Mailing address

1329 Lusitana St
Suite 607
Honolulu, HI 96813-2429
Phone (808) 523-8868

Other identifiers 5

IdentifierTypeStateIssuer
MD3781OtherHIMDX HAWAII
0000049841OtherHIBLUE CROSS PROVIDER #
044670MedicaidHI
0000049841OtherHIFEP PROVIDER #
0000049841OtherHIHMSA PROVIDER #

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
I20050929000760 HI Practitioner - Obstetrics/Gynecology 7517944143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Hawaii John a. Burns School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benton H.H. Chun, M.D., Inc.Group PAC ID 8628151412, 3 clinicians

Practice addresses (Care Compare)

1329 Lusitana St
Suite 607
Honolulu, HI 96813-2431
Phone (808) 523-8868

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3781HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Benton H H Chun M D Inc Obstetrics & Gynecology CurrentSince Sep 29, 2005 Accepting new patients
Ivf Hawaii, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

1329 Lusitana St
Ste 607
Honolulu, HI 96813
Phone (808) 523-8868

Interoperability endpoints

  • Direct secure messaging: benton.chun@31488020578308.direct.elationemr.com

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.

Hospital & facility affiliations 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195257600000",
    "number": "1821176454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 607",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-523-8868",
            "fax_number": "808-537-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 607",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-523-8868",
            "fax_number": "808-537-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "BENTON",
        "middle_name": "H.H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "3781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDX HAWAII",
            "identifier": "MD3781",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "0000049841",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044670",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEP PROVIDER #",
            "identifier": "0000049841",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER #",
            "identifier": "0000049841",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.