Active NPI
Janelle Janise Kikumi Otsuji, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- R75474
- Practice address
- 1501 N Campbell Ave
Tucson, AZ 85724-5108 - Phone
- (808) 381-2234
- NPI assigned
- Apr 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 60113 | AZ | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R75474 | AZ | Primary |
Addresses
Primary practice location
1501 N Campbell Ave
Tucson, AZ 85724-5108
Mailing address
1501 N Campbell Ave
P.O. Box 245108
Tucson, AZ 85724-5108
Phone (808) 381-2234
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
99 -193 Aiea Heights Dr
Aiea, HI 96701-3919
Phone (808) 677-7999
Hospital & facility affiliations
- Pali Momi Medical Center
- Straub Clinic and Hospital
- Maui Memorial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60113 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pan Pacific Pathologists, LLC | Single Specialty | 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
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
Single Specialty
-
- Clinical Medical Laboratory
- Ewa Beach, HI
- NPI 1134195357
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
-
- General Acute Care Hospital
- Aiea, HI
- NPI 1013961408
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590796800000",
"number": "1972958155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N CAMPBELL AVE",
"address_2": "P.O. BOX 245108",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857245108",
"telephone_number": "808-381-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857245108",
"telephone_number": "808-381-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTSUJI",
"first_name": "JANELLE",
"middle_name": "JANISE KIKUMI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2020-05-30",
"certification_date": "2020-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "60113",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "R75474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.