Individual provider Active NPI

Bruce K Tamura, M.D.

  • Specialist
  • Honolulu, HI
National Provider Identifier
1164463436
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD12083 Issued in HI
Practice address
347 North Kuakini St
HPM-9
Honolulu, HI 96817
Phone
(808) 523-8461
Fax
(808) 528-1897
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD12083 HI Primary

Addresses

Primary practice location

347 North Kuakini St
HPM-9
Honolulu, HI 96817

Mailing address

677 Ala Moana Blvd
Ste. 1001
Honolulu, HI 96813-5417
Phone (808) 469-4923

Other identifiers 1

IdentifierTypeStateIssuer
537681-02MedicaidHI

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
I20101210000678 HI Practitioner - Geriatric MedicinePractitioner - Internal Medicine 4688861065 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD12083HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Oct 31, 2014 Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
The Queens Medical Center CurrentSince Sep 7, 2021 Accepting new patients
The Queens Medical Center CurrentSince Sep 7, 2021 Accepting new patients
Straub Clinic & Hospital CurrentSince Oct 31, 2014 Accepting new patients
The Queen'S Medical Center Current Accepting new patients
Kuakini Geriatric Care, Inc. Past Accepting new patients
Straub Clinic & Hospital Past Accepting new patients
Diversified Medical Enterprises Inc Past Accepting new patients
Avalon Care Center - Honolulu LLC Past Accepting new patients
Palolo Chinese Home Past Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

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

347 N Kuakini St
Honolulu, HI 96817
Phone (808) 536-2236

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

347 N Kuakini St
#9
Honolulu, HI 96817
Phone (808) 523-8461

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

846 S Hotel St
Ste 102
Honolulu, HI 96813
Phone (808) 532-6380

Organizations & group practices 11

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1164463436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD",
            "address_2": "STE. 1001",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135417",
            "telephone_number": "808-469-4923",
            "fax_number": "808-587-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 NORTH KUAKINI ST",
            "address_2": "HPM-9",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-523-8461",
            "fax_number": "808-528-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMURA",
        "first_name": "BRUCE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD12083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "537681-02",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.