DR. BENJAMIN M. DELISA MD
NPI 1295930139
Obstetrics & Gynecology in Wailuku, HI

Q: 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.

Q: What is Benjamin Delisa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: 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.

Active since June 20, 2007PECOS EnrolledAccepts Medicare Assignment

80 MAHALANI ST, WAILUKU, HI 96793(808) 243-6150 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1295930139

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. BENJAMIN M. DELISACredential: MD

Location Address80 MAHALANI STWailuku, HI 96793-2531

Mailing Address80 Mahalani StWailuku, HI 96793-2531 · (808) 243-6150

Phone(808) 243-6150

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2002

Enumeration DateJune 20, 2007

Last NPPES UpdateJune 2, 2021

NPPES CertifiedJune 2, 2021

✔ NPI 1295930139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in HI · MD14190

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

80 MAHALANI ST, Wailuku, HI 96793

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Other Identifiers 2

Medicaid598196-02HI

Other0000268581HI · Hmsa Billing Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9133212020

PECOS Enrollment IDI20230123001948

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500014

Location1321 Colby AvenueEverett, WA 98201 · Snohomish County

Emergency services Birthing friendly

Physician 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.

New Patient

$136.68 typical visit price

range $60.53 – $180.05

Typical copayment $34.17 (range $15.13 – $45.01)

Most-billed visit code 99204

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BARBARA J BEZDICEK MD

Obstetrics & Gynecology