Individual provider Active NPI

Carl Joseph Tadaki, M.D.

  • Surgery Physician
  • Honolulu, HI
National Provider Identifier
1922242809
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD18563 Issued in HI
Practice address
405 N Kuakini St
Suite 601
Honolulu, HI 96817-6300
Phone
(808) 536-5811
NPI assigned
Apr 23, 2009
Last updated
Aug 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD432824 PA
Surgery Physician 208600000X 44300 KY
Surgery Physician 208600000X MD18563 HI Primary

Addresses

Primary practice location

405 N Kuakini St
Suite 601
Honolulu, HI 96817-6300

Mailing address

677 Ala Moana Blvd
1001
Honolulu, HI 96813-5419
Phone (808) 469-4929

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
I20160927002101 HI Practitioner - General Surgery 1850555855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tulane University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates IncGroup PAC ID 9335039767, 4 clinicians

Practice addresses (Care Compare)

134 Puuhonu Way
Hilo, HI 96720-2066
Phone (808) 969-3979

321 N Kuakini St
Suite 714
Honolulu, HI 96817-2362
Phone (808) 528-3606

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy117
Upper gastrointestinal (GI) endoscopy for acid reflux52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18563HIMDSurgery Physician
44300KYMDSurgery Physician
MD432824PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates, Inc CurrentSince May 22, 2024 Accepting new patients
Carl Tadaki MD Corporation CurrentSince Feb 24, 2025 Accepting new patients

Locations

134 Puuhonu Way
Hilo, HI 96720
Phone (808) 935-1956

321 N Kuakini St
Ste 714
Honolulu, HI 96817
Phone (808) 528-3606

Interoperability endpoints

  • Direct secure messaging: carl.tadaki@79748840882180.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1922242809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD",
            "address_2": "1001",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135419",
            "telephone_number": "808-469-4929",
            "fax_number": "808-587-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-536-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADAKI",
        "first_name": "CARL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-23",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD432824",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "44300",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD18563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.