Active NPI
Russell M Tom, M.D.
- Internal Medicine Physician
- Aiea, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 8484
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Pali Momi Medical Center
- Kuakini Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8484 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aiea Internal Medicine Services, L.L.C. | Internal Medicine | Current | Accepting new patients |
| Dr. Russell M Tom LLC | Internal Medicine | Current | Accepting new patients |
Locations
98-1079 Moanalua Rd
Ste 350
Aiea, HI 96701
Phone (808) 487-2277
Interoperability endpoints
- russell.tom@hawaiihie.medicity.net
- russell.tom@563011823927300.direct.elationemr.com
- 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.
-
- Internal Medicine Physician
- Aiea, HI
- NPI 1598773657
-
- Internal Medicine Physician
- Aiea, HI
- NPI 1659091171
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Honolulu, HI
- NPI 1306105176
-
- Home Health Agency
- Honolulu, HI
- NPI 1225478605
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1215939335
-
- General Acute Care Hospital
- Aiea, HI
- NPI 1013961408
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.