KELI YUTAKO TAHARA – Neurology Physician, NPI 1114416005

KELI YUTAKO TAHARA is a healthcare provider. based in Pearl city, Hawaii. specializing in NEUROLOGY. They hold a License No. MD-23590 (HI). The NPI Number for KELI YUTAKO TAHARA is 1114416005

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KELI YUTAKO TAHARA
NPI
1114416005
Phone
(808) 228-9240
Address
1181 HOOKAHI ST
Enumeration Date
7 May 2018
Last Update Date
1 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
8084883400
Graduation Year
2018 (8 years ago)
PAC ID
5193106102
Group Practice PAC ID
6406746916
Professional Enrollment ID
I20230922002520
Address ID
HI967014723AI98XXXRDXX404
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,479 NEUROLOGY in CA

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Provider Addresses for KELI YUTAKO TAHARA

  • 1181, Hookahi Street, Pearl Highlands, Waiau, Pearl City, Honolulu County, Hawaii, 96782, United States

    PEARL CITY, HI 967822605

    Phone: (808) 228-9240

    Type: Mailing

  • West Carson Street, Harbor Gateway, Torrance, Los Angeles County, California, 90501, United States

    TORRANCE, CA 905022059

    Phone: (310) 222-3897

    Type: Location

  • 98-1079 MOANALUA RD

    AIEA, HI 967014713

    Phone: (808) 485-4250

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $576.

Total Amount is formed as General ($576) + Research ($0) + Ownership ($0) = $576.

Last reported payment date: 2023-08-03 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($247).

Total Amount

$576

General + Research + Ownership

Payments

8

Total payment records

General Amount

$576

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230922002520INeurologyHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2319$0
95816Measurement of brain wave activity (eeg), awake and drowsy2119$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1919$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1813$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 96782)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406746916View full group profile
NameSpecialtyState
Family PracticeWA
-HI
General SurgeryCA
Nurse PractitionerHI
Orthopedic SurgeryHI
N E U R O L O G YHI
Family PracticeHI
Registered Dietitian Or Nutrition ProfessionalHI
-HI
Cardiovascular Disease (Cardiology)HI

Reviews

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Frequently asked questions

Can I cross-check KELI YUTAKO TAHARA using NPI 1114416005?
NPI 1114416005 belongs to KELI YUTAKO TAHARA; compare other details if you need extra assurance.
Would KELI YUTAKO TAHARA appear as active to a payer?
You can treat KELI YUTAKO TAHARA as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KELI YUTAKO TAHARA's focus?
For KELI YUTAKO TAHARA, the primary taxonomy reads as Neurology Physician. Clinical services aligned with this taxonomy classification.
Is KELI YUTAKO TAHARA located near Pearl City?
KELI YUTAKO TAHARA currently maps to Pearl City, Hawaii in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.