MATTHEW LEE TOM CRNA
NPI 1124405303
Nurse Anesthetist, Certified Registered in Honolulu, HI
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Matthew Tom reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Honolulu, HI 96819
- Reassigned Medicare billing, Hawaii enrollment
- 206 clinicians in this Medicare group
Las Cruces, NM 88011
- Reassigned Medicare billing, New Mexico enrollment
- 238 clinicians in this Medicare group
El Paso, TX 79911
- Reassigned Medicare billing, Texas enrollment
- 196 clinicians in this Medicare group
Pensacola, FL 32502
- Reassigned Medicare billing, Texas enrollment
- 432 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NMLas Palmas Medical Center A Campus Of Lpds Healthc
Acute Care Hospitals · El Paso, TXPhysician 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.
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.
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 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.
Where is Matthew Tom located?
Matthew Tom practices at 3288 Moanalua Rd, Honolulu, HI 96819. The listed phone number is (808) 432-0000.
What is Matthew Tom's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Matthew Tom enrolled in Medicare?
Yes. Matthew Tom 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.
Which organizations bill Medicare for Matthew Tom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Tom reassigns Medicare benefits to 4 organizations: Kaiser Foundation Health Plan Inc (Honolulu, HI), Las Cruces Hb Medical Services LLC (Las Cruces, NM), El Paso Ams, PLLC (El Paso, TX) and Texas Ams PLLC (Pensacola, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Tom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Tom accept?
Health plans from Blue Cross and Blue Shield of Texas list Matthew Tom 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 Matthew Tom affiliated with any hospitals?
According to CMS data, Matthew Tom is affiliated with Mountain View Regional Medical Center and Las Palmas Medical Center A Campus Of Lpds Healthc.
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.
# Matthew Lee Tom, CRNA · NPI 1124405303
Nurse Anesthetist, Certified Registered physician in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since April 27, 2015.
## Identity
- **NPI:** 1124405303 (Entity type: Individual)
- **Enumerated:** April 27, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** APRN-1992 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 3288 MOANALUA RD, Honolulu, HI 96819-1469
- **Phone:** (808) 432-0000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Inc (NPI 1740295393, Honolulu, HI); Las Cruces Hb Medical Services LLC (NPI 1598446171, Las Cruces, NM); El Paso Ams, PLLC (NPI 1134740202, El Paso, TX); Texas Ams PLLC (NPI 1174926125, Pensacola, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 24, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1124405303) · Data from the CMS NPPES public registry.