JACOB WILEY BLICKENSTAFF M.D.
NPI 1487038253
Anesthesiology in Honolulu, HI

Q: What is Jacob Blickenstaff's NPI number?

The NPI number for Jacob Blickenstaff is 1487038253. It was assigned to this individual provider in the NPPES registry on July 12, 2015.

Q: What is Jacob Blickenstaff's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since July 12, 2015PECOS EnrolledAccepts Medicare Assignment

79.4/100

CMS Quality Rating

1329 LUSITANA ST STE 604, HONOLULU, HI 96813(808) 531-1116 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Jacob Wiley Blickenstaff M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB WILEY BLICKENSTAFF M.D. (NPI 1487038253) is an individual anesthesiology provider in Honolulu, Hawaii, licensed in Hawaii (MD-20256) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Adventist Health Castle, and is a graduate of University Of California, Irvine, California College Of Medicine (2015).

NPPES Registry Identity

NPI1487038253

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameJACOB WILEY BLICKENSTAFFCredential: M.D.

Location Address1329 LUSITANA ST STE 604Honolulu, HI 96813-2431

Mailing Address1329 Lusitana St Ste 604Honolulu, HI 96813-2431

Phone(808) 531-1116

Sole ProprietorYes

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2015

Enumeration DateJuly 12, 2015

Last NPPES UpdateJanuary 31, 2022

NPPES CertifiedJanuary 31, 2022

✔ NPI 1487038253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in HI · MD-20256

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1329 LUSITANA ST STE 604, Honolulu, HI 96813

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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

Jacob Wiley Blickenstaff M.d. 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 ID5890027296

PECOS Enrollment IDI20191105001230

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.

Medicare Billing Reassignments

Medicare enrollment records show Jacob Blickenstaff reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Island Medical Consultants, LLC

0.1 mi

Anesthesiology

1301 PUNCHBOWL ST
Honolulu, HI 96813

Reassigned Medicare billing, Hawaii enrollment
37 clinicians in this Medicare group

NPI 1881965986 (808) 538-9011

Hawaii Permanente Medical Group Inc

4.9 mi

Health Maintenance Organization

3288 MOANALUA RD
Honolulu, HI 96819

Reassigned Medicare billing, Hawaii enrollment
1,187 clinicians in this Medicare group

NPI 1710945969 (808) 432-0000

Koolau Anesthesia Group, LLC

8.9 mi

Anesthesiology

44-668 KUONO PL
Kaneohe, HI 96744

Reassigned Medicare billing, Hawaii enrollment
23 clinicians in this Medicare group

NPI 1265184352 (415) 341-7354

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

15 services15 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

13 services13 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

11 services11 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventist Health Castle

Acute Care Hospitals · Kailua, HI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number120006

Location640 Ulukahiki StKailua, HI 96734 · Honolulu County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.77

Improvement Activities

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN ISKANDER M.D., M.P.H.

Anesthesiology