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

Tanner Kim, MD

Individual provider Vascular Surgery Physician · NPI 1154778249

Tanner Kim, MD is a Vascular Surgery in Honolulu, Hawaii. Graduated from University of Hawaii John A. Burns School of Medicine in 2016, 10 years ago. Practices with Queens North Hawaii Community Hospital, a 99-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Hawaii.

Years since qualifying
10
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
HI
In the registry since
2016
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

1301 Punchbowl St
Honolulu, HI 96813-2499
Phone: (808) 691-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD-22626 (HI)

Record details

NPI number1154778249
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 18, 2016
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address1301 Punchbowl St, Honolulu, HI 96813-2499

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Queens North Hawaii Community Hospital — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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