MATTHEW LEE TOM CRNA
NPI 1124405303
Nurse Anesthetist, Certified Registered in Honolulu, HI

Q: What is Matthew Tom's NPI number?

The NPI number for Matthew Tom is 1124405303. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Q: What is Matthew Tom's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Tom was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since April 27, 2015Accepts Medicare Assignment

3288 MOANALUA RD, HONOLULU, HI 96819(808) 432-0000 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: May 24, 2021, May 15, 2020 (2 updates tracked since 2020).

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About Matthew Lee Tom Crna NPPES

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

MATTHEW LEE TOM CRNA (NPI 1124405303) is an individual nurse anesthetist, certified registered in Honolulu, Hawaii, licensed in Hawaii (APRN-1992) and active in the NPI registry since April 2015. He is affiliated with Mountain View Regional Medical Center and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124405303

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMATTHEW LEE TOMCredential: CRNA

Location Address3288 MOANALUA RDHonolulu, HI 96819-1469

Mailing Address3288 Moanalua RdHonolulu, HI 96819-1469 · (808) 432-0000

Phone(808) 432-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 27, 2015

Last NPPES UpdateMay 24, 20212 updates tracked since enumeration

NPPES CertifiedMay 24, 2021

✔ NPI 1124405303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in HI · APRN-1992

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN-77781 (HI)

3288 MOANALUA RD, Honolulu, HI 96819

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Matthew Lee Tom Crna 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 ID4385948520

PECOS Enrollment IDI20250919002153, I20251010003434

Hospital Affiliations CMS Care Compare 2

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

Mountain View Regional Medical Center

Acute Care Hospitals · Las Cruces, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320085

Location4311 East Lohman AvenueLas Cruces, NM 88011 · Dona Ana County

Emergency services Birthing friendly

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450107

Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso 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

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

Most-billed visit code 99213

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.

DR. HEIDI M. SOLBERG-SHANKLE MD

Emergency Medicine