Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Russell G Tacata, MD

Individual provider General Practice Physician · NPI 1356341002

Dr. Russell G Tacata, MD is a General Practice in Honolulu, Hawaii. Qualified in 1982, 44 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Hawaii.

Years since qualifying
44
Licensed in
HI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1619 Liliha St #3
Honolulu, HI 96817-3152
Phone: (808) 531-5454
Fax: (808) 531-5451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 9570 (HI)

Record details

NPI number1356341002
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 22, 2005
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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