Courtney Kielemaikalani Taum, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD21045 Issued in HI

Practice address

1319 Punahou St
#741
Honolulu, HI 96826-1001

Phone

(808) 391-1558

NPI assigned

May 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Courtney Kielemaikalani Gaddis Former name

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

Practice roles

Locations

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.

• Kapiolani Medical Specialists

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1124071014
  Medicare reassignment NPD
• Kapiolani Medical Center for Women & Children

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1548215692
  Medicare reassignment
• Cheryl Twu DO LLC

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
  • NPI 1780257428
  NPD
• Keanuenue Pediatrics, LLC

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1720605504
  NPD
• Kapiolani Medical Center

  • Children's Hospital
  • Pearl City, HI
  • NPI 1083810840
  NPD (past)

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1255867404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 1501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143142",
            "telephone_number": "808-006-2180",
            "fax_number": "808-600-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "#741",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261001",
            "telephone_number": "808-391-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUM",
        "first_name": "COURTNEY",
        "middle_name": "KIELEMAIKALANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD21045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "GADDIS",
            "middle_name": "KIELEMAIKALANI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine M Tatsuno, PT
• Vernon Kaleolani Tatsuno
• Pamela Tauchi-Nishi
• Nohea Nathaniel Taufaasau, AGNP
• Megan Pinkaow Taufi
• Livingstone Tauvao
• Ana Tavares, RBT
• Antone Tavares IV
• Damien Kekaneinoa Tavares III, M.D.
• Samantha Tavares, PSY.D.

• Pediatrics Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pediatrics Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.