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MELANIETANTISIRA,MD, LLC
NPI 1376696310
Ophthalmology in Honolulu, HI

Active since January 22, 2007
1010 S KING ST, SUITE 503, HONOLULU, HI 96814(808) 591-9111 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melanietantisira,md, Llc NPPES

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

MELANIETANTISIRA,MD, LLC (NPI 1376696310) is a healthcare organization registered as an ophthalmology in Honolulu, Hawaii and active in the NPI registry since January 2007. The organization lists Melanie Tantisira, Member, as its authorized official.

NPPES Registry Identity

NPI1376696310
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMELANIETANTISIRA,MD, LLC
Location Address1010 S KING ST, SUITE 503Honolulu, HI 96814-1701
Mailing Address1010 S King St, Suite 503Honolulu, HI 96814-1701 · (808) 591-9111
Phone(808) 591-9111
Organization SubpartNo
Authorized OfficialMelanie TantisiraMember · (808) 591-9111
Enumeration DateJanuary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376696310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in HI · 8838
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1010 S KING ST, Honolulu, HI 96814
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanietantisira,md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Melanietantisira,md, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melanie Tantisira, M.D.
Ophthalmology
NPI 1598819088
1010 S KING ST SUITE 503
Honolulu, HI 96814
(808) 591-9111
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Melanietantisira,md, LLC's NPI number?

The NPI number for Melanietantisira,md, LLC is 1376696310. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Melanietantisira,md, LLC located?

Melanietantisira,md, LLC is located at 1010 S King St Suite 503, Honolulu, HI 96814. The listed phone number is (808) 591-9111.

What is Melanietantisira,md, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Melanietantisira,md, LLC enrolled in Medicare?

Yes. Melanietantisira,md, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Melanietantisira,md, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Melanietantisira,md, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Melanietantisira,md, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Melanietantisira,md, LLC 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.

When was this NPI record last updated?

The NPPES record for Melanietantisira,md, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.