SAMANTHA S. FUKUTOMI MD, MPH
NPI 1700346145
Obstetrics & Gynecology - Reproductive Endocrinology in Honolulu, HI
About Samantha S. Fukutomi Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA S. FUKUTOMI MD, MPH (NPI 1700346145) is an individual reproductive endocrinology provider in Honolulu, Hawaii, licensed in Hawaii (MD-26787-0) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha S. Fukutomi Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Fukutomi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96826 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HONOLULU, HI 96826
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 Samantha Fukutomi's NPI number?
The NPI number for Samantha Fukutomi is 1700346145. It was assigned to this individual provider in the NPPES registry on March 21, 2019. The provider is also known as Samantha Kodama.
Where is Samantha Fukutomi located?
Samantha Fukutomi practices at 1319 Punahou St Ste 1180, Honolulu, HI 96826. The listed phone number is (808) 949-6611.
What is Samantha Fukutomi's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.
Is Samantha Fukutomi enrolled in Medicare?
Yes. Samantha Fukutomi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Fukutomi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Fukutomi reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). The 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 Samantha Fukutomi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Fukutomi accept?
Health plans from BridgeSpan Health Company, HMSA, Regence BlueCross BlueShield of Utah and Select Health list Samantha Fukutomi 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 Samantha Fukutomi was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Samantha S. Fukutomi, MD, MPH · NPI 1700346145
Reproductive Endocrinology physician in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since March 21, 2019.
## Identity
- **NPI:** 1700346145 (Entity type: Individual)
- **Enumerated:** March 21, 2019
- **Primary specialty:** Obstetrics & Gynecology - Reproductive Endocrinology · taxonomy 207VE0102X
- **State license:** MD-26787-0 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 1319 PUNAHOU ST STE 1180, Honolulu, HI 96826-1089
- **Phone:** (808) 949-6611
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Adult Services (NPI 1578967345, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700346145) · Data from the CMS NPPES public registry.