Kristen P Tamura, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD19906 Issued in HI

Practice address

175 N Jackson Ave Ste 103
San Jose, CA 95116-1909

Phone

(408) 272-1600

Fax

(408) 604-0173

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, HI2 enrollments

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 2

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Dialysis Hawaii - Maui Dialysis Dialysis facility, Wailuku, HI, CCN 122510
• Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002

Merit-based Incentive Payment System (MIPS)

Final score

23.12 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.08

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.

• Ktamura MD Inc

  • Nephrology Physician
  • Wailuku, HI
  • NPI 1770136087
  Medicare reassignment Authorized official
• Bay Area Hospital Physician

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1043476393
  Medicare reassignment NPD
• Silicon Valley Internist Group, Inc

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1184998122
  Medicare reassignment NPD

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

• Liberty Dialysis - Hawaii LLC

  dba Liberty Dialysis Hawaii - Maui Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wailuku, HI
  • NPI 1932140811

  Dialysis facility

  Care Compare affiliation Name & address match
• Maui Health System a Kaiser Foundation Hospitals LLC

  dba Maui Memorial Medical Center

  • General Acute Care Hospital
  • Wailuku, HI
  • NPI 1013379460
  Care Compare affiliation

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1356502553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MAUI LANI PKWY",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932416",
            "telephone_number": "808-442-5700",
            "fax_number": "855-827-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE STE 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "408-272-1600",
            "fax_number": "408-604-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMURA",
        "first_name": "KRISTEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A114723",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD19906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martian Tampubolon
• Shawn Tamrazi
• Jersey Reyes Tamunda
• Clayton Toshihiro Tamura, MD
• Craig Tamura
• Aylmer Tan
• Dai Tan, PHARM.D.
• Derek Tan, DDS
• Edrick Tan, DDS
• Eliane Tan

• Nephrology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.

Verify at the official NPI Registry.