1. Home
  2. Directory
  3. Hawaii
  4. Honolulu
  5. Internal Medicine
  6. NPI Profile

BRAXTON SEIYA FUKUTOMI
NPI 1053970350
Internal Medicine in Honolulu, HI

Active since June 10, 2019PECOS EnrolledAccepts Medicare Assignment
2828 PAA ST, HONOLULU, HI 96819(808) 432-5777 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2025, Jun 10, 2019 (2 updates tracked since 2019).

About Braxton Seiya Fukutomi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAXTON SEIYA FUKUTOMI (NPI 1053970350) is an individual internal medicine provider in Honolulu, Hawaii, licensed in Hawaii (MDR-7736) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2019).

NPPES Registry Identity

NPI1053970350
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRAXTON SEIYA FUKUTOMI
Location Address2828 PAA STHonolulu, HI 96819-4430
Mailing Address2828 Paa StHonolulu, HI 96819-4430
Phone(808) 432-5777
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2019
Enumeration DateJune 10, 2019
Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1053970350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in HI · MDR-7736
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2828 PAA ST, Honolulu, HI 96819
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Braxton Seiya Fukutomi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971970633
PECOS Enrollment IDI20240918000713
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96819 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE X. DELNEO M.D.
Internal Medicine (Gastroenterology)
2828 PAA ST
HONOLULU, HI 96819
Honolulu County (808) 432-5777
TARYN JENNINGS DPT
Physical Therapist
2828 PAA ST
HONOLULU, HI 96819
Honolulu County (833) 833-3333
DR. ROBERT C. PEDERSEN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2828 PAA ST
HONOLULU, HI 96819
Honolulu County (808) 432-5777
MS. WENDY K. ARUGA-GOTO OT
Occupational Therapist
2828 PAA ST
HONOLULU, HI 96819
Honolulu County (808) 432-5888
DR. HAN THIDIEU HEPTON PHARMD
Pharmacist
2828 PAA ST, SUITE # 2420A
HONOLULU, HI 96819
Honolulu County (808) 432-5775
CHRISTINA PARTYKA
Occupational Therapist
2828 PAA ST
HONOLULU, HI 96819
Honolulu County (808) 432-2000
MAY N. G. PAULELE BCBA
Behavior Analyst
2828 PAA ST
HONOLULU, HI 96819
Honolulu County (808) 432-5777
MONIQUE SHAREE HADDAD PHARMD
Pharmacist
2828 PAA ST
HONOLULU, HI 96819
Honolulu County (808) 432-8425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Braxton Fukutomi's NPI number?

The NPI number for Braxton Fukutomi is 1053970350. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Braxton Fukutomi located?

Braxton Fukutomi practices at 2828 Paa St, Honolulu, HI 96819. The listed phone number is (808) 432-5777.

What is Braxton Fukutomi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Braxton Fukutomi enrolled in Medicare?

Yes. Braxton Fukutomi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Braxton Fukutomi accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Braxton Fukutomi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Braxton Fukutomi affiliated with any hospitals?

According to CMS data, Braxton Fukutomi is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Braxton Fukutomi was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.