DR. BENJAMIN M. DELISA MD
NPI 1295930139
Obstetrics & Gynecology in Wailuku, HI
About Dr. Benjamin M. Delisa Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN M. DELISA MD (NPI 1295930139) is an individual obstetrics & gynecology provider in Wailuku, Hawaii, licensed in Hawaii (MD14190) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of University Of Connecticut School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Benjamin M. Delisa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Benjamin Delisa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tacoma, WA 98402
- Reassigned Medicare billing, Washington enrollment
- 1,526 clinicians in this Medicare group
Silverdale, WA 98383
- Reassigned Medicare billing, Washington enrollment
- 223 clinicians in this Medicare group
Kirkland, WA 98034
- Reassigned Medicare billing, Washington enrollment
- 1,074 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Regional Medical Center Everett
Acute Care Hospitals · Everett, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96793 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Benjamin Delisa's NPI number?
The NPI number for Benjamin Delisa is 1295930139. It was assigned to this individual provider in the NPPES registry on June 20, 2007.
Where is Benjamin Delisa located?
Benjamin Delisa practices at 80 Mahalani St, Wailuku, HI 96793. The listed phone number is (808) 243-6150.
What is Benjamin Delisa's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Benjamin Delisa enrolled in Medicare?
Yes. Benjamin Delisa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Benjamin Delisa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Delisa reassigns Medicare benefits to 3 organizations: Franciscan Medical Group (Tacoma, WA), Obhg Washington, PC (Silverdale, WA) and King County Public Hospital District No 2 (Kirkland, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Delisa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Delisa accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Benjamin Delisa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Benjamin Delisa affiliated with any hospitals?
According to CMS data, Benjamin Delisa is affiliated with Providence Regional Medical Center Everett.
When was this NPI record last updated?
The NPPES record for Benjamin Delisa was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Benjamin M. Delisa, MD · NPI 1295930139
Obstetrics & Gynecology physician in Wailuku, Hawaii. Individual provider, active in the CMS NPPES registry since June 20, 2007.
## Identity
- **NPI:** 1295930139 (Entity type: Individual)
- **Enumerated:** June 20, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD14190 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 MAHALANI ST, Wailuku, HI 96793-2531
- **Phone:** (808) 243-6150
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Franciscan Medical Group (NPI 1831358282, Tacoma, WA); Obhg Washington, PC (NPI 1962729525, Silverdale, WA); King County Public Hospital District No 2 (NPI 1548350713, Kirkland, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** June 2, 2021
- **Other identifiers:** Medicaid 598196-02 (HI); Other 0000268581 (HI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1295930139) · Data from the CMS NPPES public registry.