Active NPI
Sydney Y Tatsuno, MD
- Internal Medicine Physician
- Hilo, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD4671
- Practice address
- 868 Ululani St
Ste 102
Hilo, HI 96720-3913 - Phone
- (808) 969-1671
- Fax
- (808) 969-7557
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | MD4671 | HI | Primary |
Addresses
Primary practice location
868 Ululani St
Ste 102
Hilo, HI 96720-3913
Mailing address
868 Ululani St
Ste 102
Hilo, HI 96720-3913
Phone (808) 969-1671
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A17028 | Other | HI | HMSA |
| 01585001 | Medicaid | HI |
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, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
868 Ululani St
Hilo, HI 96720-3913
Phone (808) 969-1671
Hospital & facility affiliations
- Bayada Home Health Care
- Dba Hawai'I Care Choices
- Hilo Benioff Medical Center
- Life Care Center of Hilo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD4671 | HI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sydney Tatsuno MD | Internal Medicine | Current | Accepting new patients |
Locations
868 Ululani St
Ste 102
Hilo, HI 96720
Phone (808) 969-1671
Interoperability endpoints
- sydney.tatsuno@stm.eclinicaldirectplus.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Hilo, HI
- NPI 1144683012
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.
-
- Internal Medicine Physician
- Hilo, HI
- NPI 1619759339
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hilo, HI
- NPI 1851650618
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Community Based Hospice Care Agency
- Hilo, HI
- NPI 1326048406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1467547307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 ULULANI ST",
"address_2": "STE 102",
"city": "HILO",
"state": "HI",
"postal_code": "967203913",
"telephone_number": "808-969-1671",
"fax_number": "808-969-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 ULULANI ST",
"address_2": "STE 102",
"city": "HILO",
"state": "HI",
"postal_code": "967203913",
"telephone_number": "808-969-1671",
"fax_number": "808-969-7557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATSUNO",
"first_name": "SYDNEY",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD4671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "A17028",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01585001",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.