Active NPI
Raymond Joseph Emanuel, M.D.
- Child & Adolescent Psychiatry Physician
- Ewa Beach, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD-10452
- 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
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 |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| San Joaquin County Behavioral Health Services | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | 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.
-
- Community/Behavioral Health Agency
- Stockton, CA
- NPI 1215028931
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stockton, CA
- NPI 1447467725
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.