Sandi Tsumoto, - Medicare Family Practice in Kaunakakai, HI

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Sandi Tsumoto, is a medicare enrolled "Family Medicine" physician in Kaunakakai, Hawaii. She went to University Of Hawaii John A. Burns School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Na Pu Uwai and her current practice location is 602 Maunaloa Hwy, Building B, Kaunakakai, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 560-3653.

Sandi Tsumoto is licensed to practice in Hawaii (license number MD-16370) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568679595.

Contact Information

Sandi Tsumoto,
602 Maunaloa Hwy, Building B,
Kaunakakai, HI 96748
(808) 560-3653
(808) 560-3385

Map and Direction




Physician's Profile

Full NameSandi Tsumoto
GenderFemale
SpecialityFamily Practice
Experience18 Years
Location602 Maunaloa Hwy, Kaunakakai, Hawaii
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sandi Tsumoto attended and graduated from University Of Hawaii John A. Burns School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1568679595
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 03/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092851238
  • Enrollment ID: I20180501000588

Medical Identifiers

Medical identifiers for Sandi Tsumoto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568679595NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MT189028 (Pennsylvania)Secondary
207Q00000XFamily Medicine MD-16370 (Hawaii)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Na Pu Uwai27694637933

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. Sandi Tsumoto allows following entities to bill medicare on her behalf.
Entity NameNa Pu Uwai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649382508
PECOS PAC ID: 2769463793
Enrollment ID: O20040526000796

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. Sandi Tsumoto 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
Sandi Tsumoto,
75-5995 Kuakini Hwy,
Kailua Kona, HI 96740-2144

Ph: (610) 372-8044		Sandi Tsumoto,
602 Maunaloa Hwy, Building B,
Kaunakakai, HI 96748

Ph: (808) 560-3653

Reviews and Comments


Family Medicine Doctors in Kaunakakai, HI

Dr. Jacob Zivotofsky, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 28 Kamoi, Suite 600, Kaunakakai, HI 96748
Phone: 808-553-5038    
Dr. Daniel Stephen Mcguire, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Kam V Hwy, Kaunakakai, HI 96748
Phone: 808-553-9080    Fax: 808-553-3353
Atharva Prashant Joshi, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 30 Oki Place, Kaunakakai, HI 96748
Phone: 808-553-5038    Fax: 808-553-5194
James L Parker, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 30 Oki Place, Kaunakakai, HI 96748
Phone: 808-553-5038    Fax: 808-553-3780

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.