DR. BENJAMIN TABAK M.D.
NPI 1659512499
Surgery - Pediatric Surgery in Tripler Army Medical Center, HI

Active since March 06, 2009PECOS EnrolledAccepts Medicare Assignment
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER ARMY MEDICAL CENTER, HI 96859(808) 341-5395 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, Jan 9, 2019 (2 updates tracked since 2019).

About Dr. Benjamin Tabak M.d. NPPES

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

DR. BENJAMIN TABAK M.D. (NPI 1659512499) is an individual pediatric surgery provider in Tripler Army Medical Center, Hawaii, licensed in Hawaii (MD15293) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2007).

NPPES Registry Identity

NPI1659512499
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. BENJAMIN TABAKCredential: M.D.
Location Address1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTERTripler Army Medical Center, HI 96859-5001
Mailing Address1 Jarrett White Rd, Tripler Army Medical CenterTripler Army Medical Center, HI 96859-5001
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2007
Enumeration DateMarch 6, 2009
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
NPI 1659512499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License Licensed in HI · MD15293
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859

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 Tabak 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 ID2961764758
PECOS Enrollment IDI20180314000974
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.

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.

Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

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 Tabak's NPI number?

The NPI number for Benjamin Tabak is 1659512499. It was assigned to this individual provider in the NPPES registry on March 6, 2009.

Where is Benjamin Tabak located?

Benjamin Tabak practices at 1 Jarrett White Rd Tripler Army Medical Center, Tripler Army Medical Center, HI 96859. The listed phone number is (808) 341-5395.

What is Benjamin Tabak's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Benjamin Tabak enrolled in Medicare?

Yes. Benjamin Tabak 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.

When was this NPI record last updated?

The NPPES record for Benjamin Tabak was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.