Tad Iwanuma, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2484 Issued in HI

Practice address

321 N Kuakini St
703
Honolulu, HI 96817-2364

Phone

(808) 524-4400

NPI assigned

Dec 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: tad.iwanuma@hawaiihie.medicity.net

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

{
    "created_epoch": "1134777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1184600504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "703",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "703",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-524-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANUMA",
        "first_name": "TAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "2484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03426401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Chigusa Iwamoto, RN
• Linda Masako Iwamoto, L.M.T.
• Lynn Mie Iwamoto, M.D.
• Karen Keiko Iwanaga
• Dorothy M Iwanski, D.O.
• Chad Iwashita, M.D.
• Emily Naomi Iyomasa, DDS
• Marc T. Iyomasa, PT
• Mark T. Izawa, MD
• Karla Sue Izuka, PSY.D.

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.