Individual provider Active NPI

Russell M Tom, M.D.

  • Internal Medicine Physician
  • Aiea, HI
National Provider Identifier
1346258407
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8484 Issued in HI
Practice address
98-1079 Moanalua Rd
Suite 350
Aiea, HI 96701-4713
Phone
(808) 487-2277
Fax
(808) 488-5582
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8484 HI Primary

Addresses

Primary practice location

98-1079 Moanalua Rd
Suite 350
Aiea, HI 96701-4713

Mailing address

98-1079 Moanalua Rd
Suite 350
Aiea, HI 96701-4713
Phone (808) 487-2277

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
I20101214000905 HI Practitioner - Internal Medicine 2769373547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

98 -1079 Moanalua Rd
Suite 350
Aiea, HI 96701-4714
Phone (808) 487-2277

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8484HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aiea Internal Medicine Services, L.L.C. Internal Medicine CurrentSince Jan 3, 2000 Accepting new patients
Dr. Russell M Tom LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 350
Aiea, HI 96701
Phone (808) 487-2277

Interoperability endpoints

  • Direct secure messaging: russell.tom@hawaiihie.medicity.net
  • Direct secure messaging: russell.tom@563011823927300.direct.elationemr.com
  • Direct secure messaging: russell.tom@562887234486276.direct.elationemr.com

Organizations & group practices 2

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 4

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1346258407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "SUITE 350",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-487-2277",
            "fax_number": "808-488-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "SUITE 350",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-487-2277",
            "fax_number": "808-488-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "RUSSELL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "8484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.