Individual provider Active NPI

Tagai Musaev

  • Dermatology Physician
  • Honolulu, HI
National Provider Identifier
1376072850
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD-21663 Issued in HI
Practice address
1600 Kapiolani Blvd Ste 508
Honolulu, HI 96814-3804
Phone
(808) 400-6904
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD-21663 HI Primary

Addresses

Primary practice location

1600 Kapiolani Blvd Ste 508
Honolulu, HI 96814-3804

Mailing address

1600 Kapiolani Blvd Ste 508
Honolulu, HI 96814-3804
Phone (808) 400-6904

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
I20210602001561 HI Practitioner - Dermatology 6002156734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Premier Dermatology IncGroup PAC ID 3971941519, 2 clinicians

Practice addresses (Care Compare)

1600 Kapiolani Blvd
Suite 508
Honolulu, HI 96814-3804
Phone (808) 400-6904

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions158
Removal or shaving of skin growth1-10
Skin biopsy171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Premier Dermatology Inc Dermatology CurrentSince Mar 7, 2024 Accepting new patients

Locations

1600 Kapiolani Blvd
Ste 508
Honolulu, HI 96814
Phone (808) 400-6904

Interoperability endpoints

  • Direct secure messaging: tmusaev@completedermhi.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1376072850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 508",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143804",
            "telephone_number": "808-400-6904",
            "fax_number": "808-431-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 508",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143804",
            "telephone_number": "808-400-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSAEV",
        "first_name": "TAGAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "MD-21663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.