Organization Active NPI

Troy M. Tanji, M.D., Inc.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Waipahu, HI
National Provider Identifier
1437352622
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
MD-8313 Issued in HI
Legal business name
TROY M. TANJI, M.D., INC.
Practice address
94-873 Farrington Hwy
Suite 102
Waipahu, HI 96797-3150
Phone
(808) 671-3937
Fax
(808) 671-3936
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Authorized official

Name
Dr. Troy M Tanji, M.D.NPI 1073570826
Title
Ophthalmologist
Phone
(808) 671-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD-8313 HI
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0009X MD-8313 HI Primary

Addresses

Primary practice location

94-873 Farrington Hwy
Suite 102
Waipahu, HI 96797-3150

Mailing address

94-873 Farrington Hwy
Suite 102
Waipahu, HI 96797-3150
Phone (808) 671-3937

Other identifiers 2

IdentifierTypeStateIssuer
077945OtherHIHMSA
077945MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510000090 HI Part B Supplier - Clinic/Group Practice 9739178302 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI; Waipahu, HI

National Provider Directory

National Provider Directory

Locations

321 N Kuakini St
Ste 301
Honolulu, HI 96817
Phone (808) 528-3937

94-873 Farrington Hwy
Ste 102
Waipahu, HI 96797
Phone (808) 542-3890

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1437352622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-873 FARRINGTON HWY",
            "address_2": "SUITE 102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973150",
            "telephone_number": "808-671-3937",
            "fax_number": "808-671-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-873 FARRINGTON HWY",
            "address_2": "SUITE 102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973150",
            "telephone_number": "808-671-3937",
            "fax_number": "808-671-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY M. TANJI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "TANJI",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "808-671-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD-8313",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "HI",
            "license": "MD-8313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "077945",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077945",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.