Tanner Kim, MD - Medicare Surgery in Honolulu, HI

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Tanner Kim, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Honolulu, Hawaii. His current practice location is 1301 Punchbowl St, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 691-1000.

Tanner Kim is licensed to practice in Hawaii (license number MD-22626) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154778249.

Contact Information

Tanner Kim, MD
1301 Punchbowl St,
Honolulu, HI 96813-2499
(808) 691-1000
Not Available

Map and Direction




Physician's Profile

Full NameTanner Kim
GenderMale
SpecialitySurgery - Vascular Surgery
Location1301 Punchbowl St, Honolulu, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154778249
  • Provider Enumeration Date: 05/18/2016
  • Last Update Date: 08/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1850685694
  • Enrollment ID: I20220817003515

Medical Identifiers

Medical identifiers for Tanner Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154778249NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery MD-22626 (Hawaii)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tanner Kim allows following entities to bill medicare on his behalf.
Entity NameThe Queens Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487693586
PECOS PAC ID: 3476454067
Enrollment ID: O20040116000366
Entity NameQueens University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891441382
PECOS PAC ID: 2466831557
Enrollment ID: O20220621000534

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tanner Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tanner Kim, MD
1301 Punchbowl St,
Honolulu, HI 96813-2499

Ph: (808) 691-1000		Tanner Kim, MD
1301 Punchbowl St,
Honolulu, HI 96813-2499

Ph: (808) 691-1000

Reviews and Comments


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Dr. Katie H.t. Huang, M.D.
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Dr. Patrick Paul Pedro, M.D.
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Dr. Peter Halford, MD
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Practice Location: 1329 Lusitana, 706, Honolulu, HI 96813
Phone: 808-536-1107    Fax: 808-536-2931

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.