DR. TIARE E SALASSA (M.D.) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1487897930

DR. TIARE E SALASSA (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MD-18214 (HI). The NPI Number for DR. TIARE E SALASSA (M.D.) is 1487897930

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIARE E SALASSA (M.D.)
NPI
1487897930
Phone
(808) 432-0000
Address
3288 MOANALUA RD
Enumeration Date
14 April 2009
Last Update Date
21 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
8084320000
Graduation Year
2009 (17 years ago)
PAC ID
3870896582
Group Practice PAC ID
7618880667
Professional Enrollment ID
I20160129000030
Address ID
HI968191469HO3288XRDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

123 ORTHOPEDIC SURGERY in HI

Provider Addresses for DR. TIARE E SALASSA (M.D.)

  • 3288 MOANALUA RD

    HONOLULU, HI 968191469

    Phone: (808) 432-0000

    Type: Mailing

  • 30, Aulike Street, Kailua, Honolulu County, Hawaii, 96734, United States

    SUITE 201

    KAILUA, HI 967342739

    Phone: (808) 203-6607

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-09-15 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$21
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: 2016-01-29

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
I20160129000030IOrthopedic SurgeryHITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96819)

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Provider's Procedures

DR. TIARE E SALASSA (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYHI20610Aspiration and/or injection of large joint or joint capsule5942
ORTHOPEDIC SURGERYHI73562X-ray of knee, 3 views3024

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: 7618880667View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
O P T O M E T R YHI
-HI
Physician AssistantHI
Emergency MedicineVA
Orthopedic SurgeryHI
Internal MedicineHI
Orthopedic SurgeryHI
-HI
-CO

Reviews

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Frequently asked questions

Is DR. TIARE E SALASSA (M.D.) listed with a National Provider Identifier?
Yes — DR. TIARE E SALASSA (M.D.) has NPI 1487897930 on file in the registry.
Is DR. TIARE E SALASSA (M.D.) still an active registrant?
DR. TIARE E SALASSA (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. TIARE E SALASSA (M.D.)?
At a glance, DR. TIARE E SALASSA (M.D.) is tied to Adult Reconstructive Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. TIARE E SALASSA (M.D.)?
Travel planning: use Honolulu, Hawaii as the reference point for DR. TIARE E SALASSA (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. TIARE E SALASSA (M.D.) is noted as April 14, 2009 where the registry provides it.

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