Mark E Tafoya, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD-11913 Issued in HI

Practice address

94-849 Lumiaina St
Suite 102
Waipahu, HI 96797-5025

Phone

(808) 676-4772

Fax

(808) 676-8772

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Ophthalmology

Education

University of Nebraska College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.tafoya@hawaiihie.medicity.net

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.

• Pacific Retina Care. LLC

  • Ophthalmology Physician
  • Waipahu, HI
  • NPI 1619118825
  Medicare reassignment NPD Authorized official
• Retina and Vitreous of Texas PLLC

  • Ophthalmology Physician
  • Bellaire, TX
  • NPI 1003892597
  NPD (past)

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

• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1639233448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-849 LUMIAINA ST",
            "address_2": "SUITE 102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975025",
            "telephone_number": "808-676-4772",
            "fax_number": "808-676-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-849 LUMIAINA ST",
            "address_2": "SUITE 102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975025",
            "telephone_number": "808-676-4772",
            "fax_number": "808-676-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFOYA",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD-11913",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "HI",
            "license": "MD-11913",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000237289",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "517724-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerrick Taboada, PHARMD
• Samantha Tachihata
• Tada Anesthesia Services
• Pepe F Taetuna, LMT
• Valerie Tafolla Leon
• Brian Taheny
• Mapuana Taiamu
• Glenn Masao Taira, D.P.T.
• Kirie Joy Takahashi, OD
• Nicole Takahashi

• Ophthalmology Physician in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Ophthalmology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.

Verify at the official NPI Registry.