Active NPI
Lawrence Kwong Tso Tam
- Internal Medicine Physician
- Honolulu, HI
National Provider Identifier
1396956025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3958
- Practice address
- 1507 South King Street
Suite 103
Honolulu, HI 96826 - Phone
- (808) 947-5555
- NPI assigned
- May 24, 2007
- 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 | 3958 | HI | Primary |
Addresses
Primary practice location
1507 South King Street
Suite 103
Honolulu, HI 96826
Mailing address
1507 South King Street
Suite 103
Honolulu, HI 96826
Phone (808) 947-5555
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120214000374 | HI | Practitioner - Internal Medicine | 8325205719 | Practice locations: Honolulu, HI |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1441 Kapiolani Blvd
Suite 2000
Honolulu, HI 96814-4408
1507 S King St
Suite 103
Honolulu, HI 96826-1931
Phone (808) 947-5555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3958 | HI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Ala Moana Inc | Internal Medicine | Past | Accepting new patients |
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": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396956025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 SOUTH KING STREET",
"address_2": "SUITE 103",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96826",
"telephone_number": "808-947-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 SOUTH KING STREET",
"address_2": "SUITE 103",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96826",
"telephone_number": "808-947-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "LAWRENCE",
"middle_name": "KWONG TSO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "3958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.