BENJAMIN DAVID ST. CLAIR (DO) – Allergy Physician, NPI 1225567886

BENJAMIN DAVID ST. CLAIR (DO) is a healthcare provider. based in Tripler army medical center, Hawaii. specializing in ALLERGY/IMMUNOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials DO. They hold a License No. 02005568A (IN). The NPI Number for BENJAMIN DAVID ST. CLAIR (DO) is 1225567886

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN DAVID ST. CLAIR (DO)
NPI
1225567886
Phone
(808) 433-6345
Address
1 Jarrett White Rd
Enumeration Date
7 June 2017
Last Update Date
27 July 2022

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
7194730872
Graduation Year
2017 (9 years ago)
PAC ID
6406271907
Group Practice PAC ID
2466341177
Professional Enrollment ID
I20240422000739
Address ID
CO809076231CO2709XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

21 ALLERGY/IMMUNOLOGY in HI

Provider Addresses for BENJAMIN DAVID ST. CLAIR (DO)

  • 1 Jarrett White Rd

    Tripler Army Medical Center, HI 968595001

    Phone: (808) 433-6345

    Type: Location

  • 1650 COCHRANE CIR # B7500

    FORT CARSON, CO 809134613

    Phone: (719) 526-7000

    Type: Location

  • 1 JARRETT WHITE RD

    TRIPLER ARMY MEDICAL CENTER, HI 968595001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240422000739IAllergy/ImmunologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96859)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466341177View full group profile
NameSpecialtyState
Physician AssistantNJ
Nurse PractitionerCO
Nurse PractitionerCO
A L L E R G Y/ I M M U N O L O G YNC
Physician AssistantCO
Nurse PractitionerCO
A L L E R G Y/ I M M U N O L O G YCO
Physician AssistantSD
Physician AssistantCO
A L L E R G Y/ I M M U N O L O G YCO

Reviews

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Frequently asked questions

What is the standard ID for BENJAMIN DAVID ST. CLAIR (DO) in the U.S.?
In the U.S., BENJAMIN DAVID ST. CLAIR (DO) is identified by NPI 1225567886.
Should I treat BENJAMIN DAVID ST. CLAIR (DO) as an active provider?
Patients and plans typically see BENJAMIN DAVID ST. CLAIR (DO) as active in the national extract.
How should patients interpret BENJAMIN DAVID ST. CLAIR (DO)'s specialty?
The extract shows Allergy Physician for BENJAMIN DAVID ST. CLAIR (DO). Clinical services aligned with this taxonomy classification.
Which community is linked to BENJAMIN DAVID ST. CLAIR (DO)?
BENJAMIN DAVID ST. CLAIR (DO) shows a connection to Tripler Army Medical Center, Hawaii in registry-derived data.
Who maintains BENJAMIN DAVID ST. CLAIR (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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