Individual provider Active NPI

Sandi Tsumoto

  • Family Medicine Physician
  • Kahului, HI
National Provider Identifier
1568679595
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-16370 Issued in HI
Practice address
53 S Puunene Ave Ste 108
Kahului, HI 96732-2192
Phone
(808) 877-5657
Fax
(808) 877-5659
NPI assigned
May 17, 2007
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-16370 HI Primary

Addresses

Primary practice location

53 S Puunene Ave Ste 108
Kahului, HI 96732-2192

Mailing address

PO Box 700127
Kapolei, HI 96709-0127
Phone (808) 949-9585

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
I20180501000588 HI Practitioner - Family Practice 5092851238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-16370HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohana Urgent Care LLC Family Medicine CurrentSince Feb 16, 2026 Accepting new patients
NA Pu Uwai CurrentSince Mar 1, 2021 Accepting new patients
NA Pu'Uwai PastSince Mar 1, 2021 Accepting new patients

Locations

53 S Puunene Ave
Ste 108
Kahului, HI 96732
Phone (808) 877-5657

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21516/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sandi.tsumoto.1@19917.direct.athenahealth.com
  • Direct secure messaging: sandi.uchida.1@19917.direct.athenahealth.com
  • Direct secure messaging: sandi.uchida@hawaiihie.medicity.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1568679595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700127",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967090127",
            "telephone_number": "808-949-9585",
            "fax_number": "808-748-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE STE 108",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322192",
            "telephone_number": "808-877-5657",
            "fax_number": "808-877-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUMOTO",
        "first_name": "SANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-16370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.