Individual provider Active NPI

Cora Sayoko Tasaki, MD

  • Specialist
  • Wailuku, HI
National Provider Identifier
1770760662
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD8162 Issued in HI
Practice address
1885 Main St Ste 205
Wailuku, HI 96793-1827
Phone
(808) 244-6776
NPI assigned
Jan 23, 2008
Last updated
Jan 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD8162 HI Primary

Addresses

Primary practice location

1885 Main St Ste 205
Wailuku, HI 96793-1827

Mailing address

1885 Main St Ste 205
Wailuku, HI 96793-1827
Phone (808) 244-6776

Other identifiers 1

IdentifierTypeStateIssuer
50132101MedicaidHI

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
I20050929001021 HI Practitioner - Neurology 6709774003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Creighton University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1885 Main St
Suite 205
Wailuku, HI 96793-1827
Phone (808) 244-6776

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.92 of 100Reported as individual
Quality
49.84
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD8162HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora S Tasaki MD Inc Specialist CurrentSince Jan 1, 2002 Accepting new patients

Locations

1885 Main St
Ste 205
Wailuku, HI 96793
Phone (808) 244-6776

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1770760662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 MAIN ST STE 205",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931827",
            "telephone_number": "808-244-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 MAIN ST STE 205",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931827",
            "telephone_number": "808-244-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASAKI",
        "first_name": "CORA",
        "middle_name": "SAYOKO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD8162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50132101",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.