KTAMURA MD INC
NPI 1770136087
Internal Medicine - Nephrology in Wailuku, HI

Active since July 17, 2019
85 MAUI LANI PARKWAY, WAILUKU, HI 96793(530) 241-1473(808) 442-5701 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2020, Dec 31, 2019, Jul 17, 2019 (3 updates tracked since 2019).

About Ktamura Md Inc NPPES

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

KTAMURA MD INC (NPI 1770136087) is a healthcare organization registered as a nephrology in Wailuku, Hawaii and active in the NPI registry since July 2019. The organization lists Kristen Tamura, President, as its authorized official.

NPPES Registry Identity

NPI1770136087
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKTAMURA MD INC
Location Address85 MAUI LANI PARKWAYWailuku, HI 96793-2416
Mailing Address85 Maui Lani ParkwayWailuku, HI 96793-2416 · (808) 442-5700 · Fax (808) 442-5701
Fax(808) 442-5701
Organization SubpartYes
Authorized OfficialKristen TamuraPresident · (530) 241-1473
Enumeration DateJuly 17, 2019
Last NPPES UpdateNovember 6, 20203 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
✔ NPI 1770136087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X
85 MAUI LANI PARKWAY, Wailuku, HI 96793

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ktamura Md Inc 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 Ktamura MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1356502553
175 N JACKSON AVE STE 103
San Jose, CA 95116
(408) 272-1600
✔ PECOS✔ Accepts Medicare2,363 mi

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 Ktamura MD Inc's NPI number?

The NPI number for Ktamura MD Inc is 1770136087. It was assigned to this organization in the NPPES registry on July 17, 2019.

Where is Ktamura MD Inc located?

Ktamura MD Inc is located at 85 Maui Lani Parkway, Wailuku, HI 96793. The listed phone number is (530) 241-1473.

What is Ktamura MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ktamura MD Inc enrolled in Medicare?

Yes. Ktamura MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ktamura MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Ktamura MD Inc. 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.

When was this NPI record last updated?

The NPPES record for Ktamura MD Inc was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.