Individual provider Active NPI

Raymond Joseph Emanuel, M.D.

  • Child & Adolescent Psychiatry Physician
  • Ewa Beach, HI
National Provider Identifier
1982799748
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD-10452 Issued in HI
Practice address
91-2301 Old Ft Weaver Rd
Ewa Beach, HI 96706-3602
Phone
(808) 671-8511
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD-10452 HI Primary

Addresses

Primary practice location

91-2301 Old Ft Weaver Rd
Ewa Beach, HI 96706-3602

Mailing address

1754 Overlook Dr
Silver Spring, MD 20903-1409
Phone (202) 352-5447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 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
I20190408002766 HI Practitioner - Psychiatry 6800015009 Reassigns benefits to 2 organizations
I20250710003556 CA Practitioner - Psychiatry 6800015009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians
Queens North Hawaii Community HospitalGroup PAC ID 0143116293, 102 clinicians

Practice addresses (Care Compare)

1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-8700

67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 881-4400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Jan 10, 2022 Accepting new patients
County of San Joaquin CurrentSince Apr 27, 2025 Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince Apr 27, 2025 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 10, 2022 Accepting new patients
San Joaquin Behavioral Health Services Current Accepting new patients

Locations

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1982799748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 OVERLOOK DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031409",
            "telephone_number": "202-352-5447",
            "fax_number": "202-352-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2301 OLD FT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063602",
            "telephone_number": "808-671-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMANUEL",
        "first_name": "RAYMOND",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "HI",
            "license": "MD-10452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

Verify at the official NPI Registry.