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NAOKY C TSAI MD
NPI 1245214618
Internal Medicine - Gastroenterology in Kailua, HI

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
642 ULUKAHIKI ST, STE 103, KAILUA, HI 96734(808) 263-5174(808) 266-3614 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Naoky C Tsai Md NPPES

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

NAOKY C TSAI MD (NPI 1245214618) is an individual gastroenterology provider in Kailua, Hawaii, licensed in Hawaii (3796) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1245214618
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNAOKY C TSAICredential: MD
Location Address642 ULUKAHIKI ST, STE 103Kailua, HI 96734-4400
Mailing Address42-127 Old Kalanianaole RdKailua, HI 96734-5704 · (808) 263-5174 · Fax (808) 266-3614
Phone(808) 263-5174
Fax(808) 266-3614
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateNovember 30, 2005
Last NPPES UpdateOctober 30, 2007
✔ NPI 1245214618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in HI · 3796
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License 3796 (HI)
642 ULUKAHIKI ST, Kailua, HI 96734
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedH0000BDHSH
Medicare UPIND36446
Medicaid04806901HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

Naoky C Tsai Md 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 ID244232080
PECOS Enrollment IDI20070208000095
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 9

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.
135 services102 patients
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.
44 services40 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
40 services40 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.
40 services40 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.
40 services40 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Adventist Health Castle

Acute Care Hospitals · Kailua, HI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number120006
Location640 Ulukahiki StKailua, HI 96734 · Honolulu County
Emergency services Birthing friendly

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120022
Location888 S King StreetHonolulu, HI 96813 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96734 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
42%338 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
53%577 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%1,230 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
32%337 patients2/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
46%821 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
14%803 patients1/55-star benchmark: 96%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 405 patients
0%405 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JAMES PANETTA, DO, PLLC
Internal Medicine (Gastroenterology)
642 ULUKAHIKI ST, SUITE 302
KAILUA, HI 96734
Honolulu County (808) 440-6789
SUSAN S. HIRAOKA, DPM, LLC
Prosthetic/Orthotic Supplier
642 ULUKAHIKI ST, SUITE 207
KAILUA, HI 96734
Honolulu County (808) 261-9931
DR. RONALD M YAMAOKA M.D.
Psychiatry & Neurology (Neurology)
642 ULUKAHIKI ST, STE 303
KAILUA, HI 96734
Honolulu County (808) 262-0606
JANE B. HERNANDEZ-ING, M.D., INC.
Internal Medicine (Rheumatology)
642 ULUKAHIKI ST, SUITE 211
KAILUA, HI 96734
Honolulu County (808) 261-0765
AMY B HARPSTRITE M.D.
Pediatrics (Adolescent Medicine)
642 ULUKAHIKI ST, #205
KAILUA, HI 96734
Honolulu County (808) 263-7340
DR. JAMALAH ADEEBA MUNIR MD
Internal Medicine (Interventional Cardiology)
642 ULUKAHIKI ST
KAILUA, HI 96734
Honolulu County (808) 263-5174
DR. KENNETH K VU M.D.
Specialist
642 ULUKAHIKI ST, SUITE 300
KAILUA, HI 96734
Honolulu County (808) 261-4166
DR. JOHN NAGAMINE M.D.
Pediatrics
642 ULUKAHIKI ST, SUITE 304
KAILUA, HI 96734
Honolulu County (808) 262-5060

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 Naoky Tsai's NPI number?

The NPI number for Naoky Tsai is 1245214618. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Naoky Tsai located?

Naoky Tsai practices at 642 Ulukahiki St Ste 103, Kailua, HI 96734. The listed phone number is (808) 263-5174.

What is Naoky Tsai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Naoky Tsai enrolled in Medicare?

Yes. Naoky Tsai 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 Naoky Tsai accept?

Health plans from HMSA list Naoky Tsai 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 Naoky Tsai affiliated with any hospitals?

According to CMS data, Naoky Tsai is affiliated with The Queens Medical Center, Adventist Health Castle and Straub Clinic And Hospital.

When was this NPI record last updated?

The NPPES record for Naoky Tsai was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.