Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAE MIN MOON DO
NPI 1952096216
Family Medicine in Honolulu, HI

Q: What is Tae Moon's NPI number?

The NPI number for Tae Moon is 1952096216. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Q: What is Tae Moon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tae Moon was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 11, 2023PECOS Enrolled

321 N KUAKINI ST STE 201, HONOLULU, HI 96817(808) 263-5009(808) 537-1594 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, Apr 11, 2023 (2 updates tracked since 2023).

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About Tae Min Moon Do NPPES

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

TAE MIN MOON DO (NPI 1952096216) is an individual family medicine provider in Honolulu, Hawaii, licensed in Virginia (0102209363) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2023).

NPPES Registry Identity

NPI1952096216

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTAE MIN MOONCredential: DO

Location Address321 N KUAKINI ST STE 201Honolulu, HI 96817-2399

Mailing Address321 N Kuakini StHonolulu, HI 96817-2364 · (757) 594-3800 · Fax (757) 591-9021

Phone(808) 263-5009

Fax(808) 537-1594

Sole ProprietorNo

Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2023

Enumeration DateApril 11, 2023

Last NPPES UpdateOctober 28, 20262 updates tracked since enumeration

NPPES CertifiedOctober 28, 2026

✔ NPI 1952096216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0102209363

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

321 N KUAKINI ST STE 201, Honolulu, HI 96817

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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 (PECOS)

Tae Min Moon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466812441

PECOS Enrollment IDI20250813000183

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 Reassignment

Medicare enrollment records show Tae Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Patient First Richmond Medical Group PLLC

4,825 mi

Family Medicine

5000 COX RD, SUITE 100
Glen Allen, VA 23060

Reassigned Medicare billing, District of Columbia and Virginia enrollments
263 clinicians in this Medicare group

NPI 1689603748 (804) 822-4355

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 96817 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

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.

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.

WEI LIN

Pharmacist

321 N KUAKINI ST STE 201
HONOLULU, HI 96817

Honolulu County (808) 523-8611

JULIE YURIE ASARI M.D.

Internal Medicine

321 N KUAKINI ST STE 201
HONOLULU, HI 96817

Honolulu County (808) 523-8611

RICHARD TSUYOSHI IKEHARA M.D.

Obstetrics & Gynecology

321 N KUAKINI ST STE 201
HONOLULU, HI 96817

Honolulu County (808) 523-8611

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 Tae Moon's NPI number?

The NPI number for Tae Moon is 1952096216. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Tae Moon located?

Tae Moon practices at 321 N Kuakini St Ste 201, Honolulu, HI 96817. The listed phone number is (808) 263-5009.

What is Tae Moon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tae Moon enrolled in Medicare?

Yes. Tae Moon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tae Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tae Moon reassigns Medicare benefits to Patient First Richmond Medical Group PLLC (Glen Allen, VA). 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 Tae Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tae Moon accept?

Health plans from HMSA list Tae Moon 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 Tae Moon was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.