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HALLEY TSAI
NPI 1518250653
Internal Medicine - Pulmonary Disease in Honolulu, HI

Active since May 23, 2011PECOS EnrolledAccepts Medicare Assignment
80.58/100
CMS Quality Rating
1329 LUSITANA ST STE 107, HONOLULU, HI 96813(808) 691-5252(808) 691-5250 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2024, Aug 22, 2024, May 28, 2019 (3 updates tracked since 2019).

About Halley Tsai NPPES

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

HALLEY TSAI (NPI 1518250653) is an individual pulmonary disease provider in Honolulu, Hawaii, licensed in Hawaii (MD-24155) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1518250653
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameHALLEY TSAI
Location Address1329 LUSITANA ST STE 107Honolulu, HI 96813-2401
Mailing Address1329 Lusitana St Ste 704Honolulu, HI 96813-2431
Phone(808) 691-5252
Fax(808) 691-5250
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2011
Enumeration DateMay 23, 2011
Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1518250653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in HI · MD-24155✔ Licensed in CA · A126277
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License A126277 (CA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License MD-24155 (HI)
1329 LUSITANA ST STE 107, Honolulu, HI 96813
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Secondary Practice Location 1

Location 1751 S Bascom AveSan Jose, CA 95128-2604 · Phone (408) 885-7724

Accepted Insurance

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

Halley Tsai 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 ID1951523802
PECOS Enrollment IDI20240906001608
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Halley Tsai reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Queens University Medical Group
0.1 mi
Multi-Specialty
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 859 clinicians in this Medicare group
NPI 1891441382 (808) 691-1000
The Queen's Medical Center
0.1 mi
General Acute Care Hospital
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • Medicare enrollment name: The Queens Medical Center
  • 809 clinicians in this Medicare group
NPI 1487693586 (808) 538-9011
Queens North Hawaii Community Hospital
167 mi
Home Health
67-1125 MAMALAHOA HWY
Kamuela, HI 96743
  • Reassigned Medicare billing, Hawaii enrollment
  • 277 clinicians in this Medicare group
NPI 1124009584 (808) 881-4400
County Of Santa Clara
2,404 mi
Mental Health (Including Community Mental Health Center)
231 GRANT AVENUE
Palo Alto, CA 94306
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1588721500 (California), NPI 1629301346 (California)
  • 2,460 clinicians in this Medicare group
NPI 1144330614 (650) 321-5545

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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
59 services59 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers26 claims26 services$777.16 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
2 suppliers21 claims21 services$808.65 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier32 claims32 services$2.35 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$62.20 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.04 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers15 claims15 services$22.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

BRENT KEI TATSUNO M.D.
Internal Medicine (Critical Care Medicine)
1329 LUSITANA ST STE 107
HONOLULU, HI 96813
Honolulu County (808) 691-5201
DR. BRENT JITSUO MATSUDA M.D.
Internal Medicine (Pulmonary Disease)
1329 LUSITANA ST STE 107
HONOLULU, HI 96813
Honolulu County (808) 691-5201
DR. CHRISTOPHER ANDREW FIACK M.D.
Internal Medicine (Pulmonary Disease)
1329 LUSITANA ST STE 107
HONOLULU, HI 96813
Honolulu County (808) 691-5252

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 Halley Tsai's NPI number?

The NPI number for Halley Tsai is 1518250653. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Where is Halley Tsai located?

Halley Tsai practices at 1329 Lusitana St Ste 107, Honolulu, HI 96813. The listed phone number is (808) 691-5252.

What is Halley Tsai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Halley Tsai enrolled in Medicare?

Yes. Halley 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.

Which organizations bill Medicare for Halley Tsai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Halley Tsai reassigns Medicare benefits to 4 organizations: Queens University Medical Group (Honolulu, HI), The Queen's Medical Center (Honolulu, HI), Queens North Hawaii Community Hospital (Kamuela, HI) and County Of Santa Clara (Palo Alto, CA). 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 Halley Tsai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Halley Tsai accept?

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

According to CMS data, Halley Tsai is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Halley Tsai was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.