Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eduardo G. Villasenor, MD

Individual provider Surgery Physician · NPI 1073691804

Eduardo G. Villasenor, MD is a General Practice in Wailuku, Hawaii. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2000, 26 years ago. Practices with Hawaii Permanente Medical Group Inc, a 705-clinician group and accepts Medicare assignment. Licensed in California and Hawaii.

Years since qualifying
26
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
CA, HI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

80 Mahalani St
Wailuku, HI 96793-2531
Phone: (808) 243-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD-18173 (HI)
Surgery Physician Taxonomy 208600000X · Licence A78762 (CA)

Record details

NPI number1073691804
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Hawaii Permanente Medical Group Inc — 705 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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