Jivin Gerard Tantisira, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD 9427 Issued in HI

Practice address

450 Hookahi St
Wailuku, HI 96793-1447

Phone

(808) 877-3984

Fax

(808) 871-6498

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Yale University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aloha Eye Clinic, LTDGroup PAC ID 0941190805, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.83 of 100Reported as group

Quality

97.78

Improvement activities

40

Cost

79.08

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (2 of 4)

Locations

Networks

• HI PPO
• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

• Direct secure messaging: jtantisira@aloha.intellechartdirect.net
• Direct secure messaging: jtantisira@alohaeye.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aloha Eye Clinic, LTD.

  • Ophthalmology Physician
  • Wailuku, HI
  • NPI 1447298344

  HI, Ophthalmology

  Medicare reassignment Care Compare group NPD Authorized official
• Aloha Eye Clinic Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Wailuku, HI
  • NPI 1669868600

  HI

  Medicare reassignment Authorized official
• Aloha Eye Clinic, LTD.

  • Ophthalmology Physician
  • Kihei, HI
  • NPI 1740065325

  Ophthalmology

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1104889583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 HOOKAHI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931474",
            "telephone_number": "808-877-3984",
            "fax_number": "808-871-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 HOOKAHI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931447",
            "telephone_number": "808-877-3984",
            "fax_number": "808-871-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTISIRA",
        "first_name": "JIVIN",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD 9427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA EYE CLINIC, LTD. NPI ID",
            "identifier": "1447298344",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "20992-4",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00264901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi M Tamparong, NP-C
• Maura Michele D Tamplin, PT
• Andrew W. Tan, M.D.
• Stacy Haunani Tan, LCSW
• Marvin M. Tanaka, DDS, MS
• Melissa Taraya
• Cora Sayoko Tasaki, MD
• Mitchell N Tasaki, MD
• June Takako Tasuhara, PSYD
• Bruce R. Taylor, MD

• Ophthalmology Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Ophthalmology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.