Active NPI
Nathan Tokuda
- Anatomic Pathology & Clinical Pathology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD2017-0492
- Practice address
- 915 Camino de Salud
BMSB 335
Albuquerque, NM 87131-0001 - Phone
- (505) 272-4814
- Fax
- (505) 272-8084
- NPI assigned
- Jun 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD2017-0492 | NM | Primary |
Addresses
Primary practice location
915 Camino de Salud
BMSB 335
Albuquerque, NM 87131-0001
Mailing address
Msc08 4640
BMSB Room 335, 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-4814
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Hawaii John a. Burns School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 242-2064
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pan Pacific Pathologists, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Clinical Laboratories of Hawaii LLP | Past | Accepting new patients |
Locations
99-193 Aiea Heights Dr
Aiea, HI 96701
Phone (808) 679-4243
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
33 Lanihuli St
Hilo, HI 96720
Phone (808) 935-4814
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Wilcox Medical Center | Hospital | Corporate Director | Feb 24, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Ewa Beach, HI
- NPI 1962479360
-
- Clinical Medical Laboratory
- Ewa Beach, HI
- NPI 1134195357
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lihue, HI
- NPI 1225113442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1750517611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MSC08 4640",
"address_2": "BMSB ROOM 335, 1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-4814",
"fax_number": "505-272-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 CAMINO DE SALUD",
"address_2": "BMSB 335",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-4814",
"fax_number": "505-272-8084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOKUDA",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-05",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NM",
"license": "MD2017-0492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.