Individual provider Active NPI

Reid H. Tamanaha, MD

  • Emergency Medicine Physician
  • Lihue, HI
National Provider Identifier
1508979709
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-10516 Issued in HI
Practice address
4484 Pahe'E Street
Kauai Medical Clinic - Urgent Care
Lihue, HI 96766
Phone
(808) 245-1532
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD-10516 HI Primary

Addresses

Primary practice location

4484 Pahe'E Street
Kauai Medical Clinic - Urgent Care
Lihue, HI 96766

Mailing address

10180 SE Sunnyside Rd
Kaiser Sunnyside Medical Center
Clackamas, OR 97015-8970

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
I20110908002268 HI Practitioner - Emergency Medicine 8022103944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kauai Medical ClinicGroup PAC ID 5092628479, 147 clinicians

Practice addresses (Care Compare)

3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098
Phone (808) 245-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.39 of 100Reported as group
Quality
79.9
Promoting interoperability
99
Improvement activities
40
Cost
82.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Medical Clinic CurrentSince Sep 20, 2011 Accepting new patients
Kauai Medical Clinic CurrentSince Sep 20, 2011 Accepting new patients

Locations

1946 Young St
Ste 320
Honolulu, HI 96826

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

4484 Pahee St
Lihue, HI 96766
Phone (808) 245-1532

Organizations & group practices 2

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 1

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1508979709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10180 SE SUNNYSIDE RD",
            "address_2": "KAISER SUNNYSIDE MEDICAL CENTER",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4484 PAHE'E STREET",
            "address_2": "KAUAI MEDICAL CLINIC - URGENT CARE",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "96766",
            "telephone_number": "808-245-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMANAHA",
        "first_name": "REID",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-10516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.