Individual provider Active NPI

Amy Ebisutani Tamashiro, M.D.

  • Pediatrics Physician
  • Honolulu, HI
National Provider Identifier
1124005848
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
8677 Issued in HI
Practice address
321 N Kuakini St
Suite 201
Honolulu, HI 96817-2364
Phone
(808) 523-8611
Fax
(808) 537-1594
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 8677 HI Primary

Addresses

Primary practice location

321 N Kuakini St
Suite 201
Honolulu, HI 96817-2364

Mailing address

321 N Kuakini St
Suite 201
Honolulu, HI 96817-2364
Phone (808) 523-8611

Other identifiers 1

IdentifierTypeStateIssuer
04283319MedicaidHI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040225000177 HI Practitioner - Pediatric Medicine 4587550777 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8677HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince May 1, 2022 Accepting new patients
Queens University Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Primary Care Physician Enterprise LLC CurrentSince Jul 1, 2022 Accepting new patients
The Queen'S Medical Center Current Accepting new patients
The Queen'S Medical Center CurrentSince May 1, 2022 Accepting new patients

Locations

91-6390 Kapolei Pkwy
Ewa Beach, HI 96706
Phone (808) 691-4600

91-6390 Kapolei Pkwy
Ste 200
Ewa Beach, HI 96706
Phone (612) 802-2986

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

405 N Kuakini St
Ste 601
Honolulu, HI 96817
Phone (808) 526-0303

550 S Beretania St
Honolulu, HI 96813
Phone (808) 528-2511

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

Interoperability endpoints

  • Direct secure messaging: amy.tamashiro@hawaiihie.medicity.net
  • Direct secure messaging: amy.tamashiro@43479566319620.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1124005848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "SUITE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-523-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "SUITE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-523-8611",
            "fax_number": "808-537-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMASHIRO",
        "first_name": "AMY",
        "middle_name": "EBISUTANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "8677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04283319",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.