Individual provider Active NPI

Nathan P Tomita, D.O.

  • Surgery Physician
  • Kailua Kona, HI
National Provider Identifier
1255312401
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DOS1441 Issued in HI
Practice address
75-170 Hualalai Rd Ste D216A
Kailua Kona, HI 96740-1779
Phone
(808) 313-8338
Fax
(808) 313-8339
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101013860 MI
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X DOS1441 HI Primary

Addresses

Primary practice location

75-170 Hualalai Rd Ste D216A
Kailua Kona, HI 96740-1779

Mailing address

75-170 Hualalai Rd Ste D216A
Kailua Kona, HI 96740-1779
Phone (808) 313-8338

Other identifiers 2

IdentifierTypeStateIssuer
114583911MedicaidMI
0257801385OtherMIBCBSM

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
I20120803000218 HI Practitioner - General Surgery 5698758340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sensei Surgery IncGroup PAC ID 0244649580, 3 clinicians

Practice addresses (Care Compare)

220 Imi Kala St
Suite 102
Wailuku, HI 96793-1209
Phone (808) 727-8346

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.16 of 100Reported as group
Quality
40
Improvement activities
40
Cost
71.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal149
Melanoma (skin cancer) excision31
Removal of tissue27
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOS1441HIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sensei Surgery, Inc Single Specialty CurrentSince May 1, 2021 Accepting new patients
Russell N Harada MD Inc Single Specialty CurrentSince May 1, 2021 Accepting new patients
Pacific Vascular Associates, LLC Single Specialty CurrentSince May 1, 2021 Accepting new patients
Pacific Vascular Institute-Kona Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Alii Health Center PastSince Feb 14, 2021 Accepting new patients
Memorial Hospital Single Specialty Past Accepting new patients
Mid-Michigan General Surgery PLLC Single Specialty PastSince Feb 1, 2004 Accepting new patients

Locations

99-115 Aiea Heights Dr
Ste 276B
Aiea, HI 96701
Phone (352) 870-7393

99-115 Aiea Heights Dr
Ste 276
Aiea, HI 96701
Phone (808) 486-7775

98-1079 Moanalua Rd
Ste 620
Aiea, HI 96701
Phone (808) 486-0429

99-115 Aiea Heights Dr
Ste 246
Aiea, HI 96701
Phone (808) 384-3050

1276 Kinoole St
Hilo, HI 96720
Phone (808) 935-7181

1401 S Beretania St
Ste 380
Honolulu, HI 96814
Phone (808) 444-3477

405 N Kuakini St
Ste 1107
Honolulu, HI 96817
Phone (808) 521-9154

75-170 Hualalai Rd
Ste D216A
Kailua Kona, HI 96740
Phone (808) 313-8338

75-184 Hualalai Rd
Ste 203
Kailua Kona, HI 96740
Phone (808) 329-9211

75-184 Hualalai Rd
Ste 100-101
Kailua Kona, HI 96740
Phone (805) 975-7463

75-170 Hualalai Rd
Ste 216A
Kailua Kona, HI 96740

220 Imi Kala St
Ste 102
Wailuku, HI 96793
Phone (808) 242-6605

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECAIDD/Endpoint/ECAIDD
  • Direct secure messaging: nathan.tomita@hawaiihie.medicity.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1255312401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-170 HUALALAI RD STE D216A",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401779",
            "telephone_number": "808-313-8338",
            "fax_number": "808-313-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-170 HUALALAI RD STE D216A",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401779",
            "telephone_number": "808-313-8338",
            "fax_number": "808-313-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMITA",
        "first_name": "NATHAN",
        "middle_name": "P",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101013860",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "HI",
            "license": "DOS1441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114583911",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0257801385",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.