MRS. TAMARA D KANESHIRO PA
NPI 1740762236
Physician Assistant in Fairfax, VA

Active since August 31, 2018PECOS Enrolled
8260 WILLOW OAKS CORPORATE DR STE 650, FAIRFAX, VA 22031(703) 776-2000(571) 665-6797 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2026, Jul 17, 2023, Aug 31, 2018 (3 updates tracked since 2018).

About Mrs. Tamara D Kaneshiro Pa NPPES

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

MRS. TAMARA D KANESHIRO PA (NPI 1740762236) is an individual physician assistant in Fairfax, Virginia, licensed in Virginia (0110011215) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Duke University School Of Medicine (2018).

NPPES Registry Identity

NPI1740762236
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. TAMARA D KANESHIROCredential: PA
Location Address8260 WILLOW OAKS CORPORATE DR STE 650Fairfax, VA 22031-4531
Mailing Address8260 Willow Oaks Corporate Dr Ste 650Fairfax, VA 22031-4531 · (703) 776-2000 · Fax (571) 665-6797
Fax(571) 665-6797
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 2018
Enumeration DateAugust 31, 2018
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1740762236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110011215
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8260 WILLOW OAKS CORPORATE DR STE 650, Fairfax, VA 22031

Secondary Practice Location 1

Location 1525 E 68th StNew York, NY 10065-4870 · Phone (212) 746-1067

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Tamara D Kaneshiro Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688089857
PECOS Enrollment IDI20260326001093
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Physician Assistant
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Nurse Practitioner
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Nurse Practitioner (Family)
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Nurse Practitioner
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Nurse Practitioner (Family)
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031

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 Tamara Kaneshiro's NPI number?

The NPI number for Tamara Kaneshiro is 1740762236. It was assigned to this individual provider in the NPPES registry on August 31, 2018.

Where is Tamara Kaneshiro located?

Tamara Kaneshiro practices at 8260 Willow Oaks Corporate Dr Ste 650, Fairfax, VA 22031. The listed phone number is (703) 776-2000.

What is Tamara Kaneshiro's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tamara Kaneshiro enrolled in Medicare?

Yes. Tamara Kaneshiro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tamara Kaneshiro was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.