Dr. Russell M Tom LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR. RUSSELL M TOM LLC

Practice address

98-1079 Moanalua Rd Ste 350
Aiea, HI 96701-4714

Phone

(808) 487-2277

Fax

(808) 488-5582

NPI assigned

Sep 2, 2022

Last updated

Sep 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hien Ramones

Title

Biller

Phone

(808) 629-7845

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell M Tom, M.D.

  • Internal Medicine Physician
  • Aiea, HI
  • NPI 1346258407
  Medicare reassignment NPD

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1659091171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 350",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014714",
            "telephone_number": "808-487-2277",
            "fax_number": "808-488-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 350",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014714",
            "telephone_number": "808-487-2277",
            "fax_number": "808-488-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RUSSELL M TOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "RAMONES",
        "authorized_official_first_name": "HIEN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "808-629-7845"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.