Individual provider Active NPI

Sydney Y Tatsuno, MD

  • Internal Medicine Physician
  • Hilo, HI
National Provider Identifier
1467547307
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD4671 Issued in HI
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

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A17028OtherHIHMSA
01585001MedicaidHI

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
I20080616000222 HI Practitioner - Internal Medicine 4082785258 Receives reassigned benefits from 1 practitioner
Practice locations: Hilo, HI

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 Home health agency, Hilo, HI, CCN 127312
  • Dba Hawai'I Care Choices Hospice, Hilo, HI, CCN 121503
  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005
  • Life Care Center of Hilo Nursing home, Hilo, HI, CCN 125040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD4671HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sydney Tatsuno MD Internal Medicine CurrentSince Jan 1, 1990 Accepting new patients

Locations

868 Ululani St
Ste 102
Hilo, HI 96720
Phone (808) 969-1671

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.