DR. JIVIN GERARD TANTISIRA M.D. NPI 1104889583

NPI Information

  • NPI: 1104889583
  • Provider Name: DR. JIVIN GERARD TANTISIRA, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 450 HOOKAHI ST
    WAILUKU, HI
    ZIP 96793
  • Phone: (808) 877-3984

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NPI Details

DR. Jivin Gerard Tantisira, M.D. is an ophthalmology in Wailuku, HI with 39 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Jivin Gerard Tantisira, M.D. NPI is 1104889583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

450 HOOKAHI ST
WAILUKU, HI
ZIP 96793-447
Phone: (808) 877-3984
Fax: (808) 871-6498

The NPI 1104889583 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Imaging of retina (HCPCS:92134)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Microfluid analysis of tears (HCPCS:83861)
  • Exam of visual field with extended testing (HCPCS:92083)
  • New patient complete exam of visual system (HCPCS:92004)
  • Imaging of optic nerve (HCPCS:92133)
  • Imaging of front third of eye using a special microscope (HCPCS:92286)
  • Photography of the retina (HCPCS:92250)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Measurement of nerve conduction using visual stimulation testing with report (HCPCS:95930)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Injection of drug into eye (HCPCS:67028)
  • Ultrasound scan to determine eye length and lens power (HCPCS:76519)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Ct scan of cornea (HCPCS:92025)
  • Photography of content of eyes (HCPCS:92285)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 4/7/2006 and was last updated on 8/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyMD 9427HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11447298344OTHERHAWAIIALOHA EYE CLINIC, LTD. NPI ID
220992-4OTHERHAWAIIHMSA
300264901MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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