Individual provider Active NPI

Melanie Tantisira, M.D.

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1598819088
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
8838 Issued in HI
Practice address
1010 S King St
Suite 503
Honolulu, HI 96814-1701
Phone
(808) 591-9111
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 8838 HI Primary

Addresses

Primary practice location

1010 S King St
Suite 503
Honolulu, HI 96814-1701

Mailing address

1010 S King St
Suite 503
Honolulu, HI 96814-1701
Phone (808) 591-9111

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
I20040522000028 HI Practitioner - Ophthalmology 8820089394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aloha Eye Clinic, LTDGroup PAC ID 0941190805, 8 clinicians

Practice addresses (Care Compare)

450 Hookahi St
Wailuku, HI 96793-1447

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8838HIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Eye Clinic Surgical Center LLC Current Accepting new patients
Aloha Eye Clinic, LTD. Ophthalmology CurrentSince May 6, 2014 Accepting new patients
Aloha Eye Clinic, LTD. Ophthalmology CurrentSince May 6, 2014 Accepting new patients
Melanietantisira,MD, LLC Ophthalmology CurrentSince Sep 26, 2003 Accepting new patients

Locations

1010 S King St
Ste 503
Honolulu, HI 96814
Phone (808) 591-9111

1300 N Holopono St
Ste 109
Kihei, HI 96753
Phone (808) 442-3058

450 Hookahi St
Wailuku, HI 96793
Phone (808) 244-5541

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598819088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "SUITE 503",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-591-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "SUITE 503",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-591-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTISIRA",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "8838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.