DR. TATSUO KAWAI MD PHD
NPI 1285656314
Transplant Surgery in Boston, MA
NPI Status: Active since July 25, 2006
Contact Information
55 FRUIT STREET
WHT 510B
BOSTON, MA
ZIP 02114
Phone: (617) 724-9996
Fax: (617) 726-3713
- Individual
- Male
- Years of Experience 45
- Transplant Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About TATSUO KAWAI
This page provides the complete NPI Profile along with additional information for Tatsuo Kawai, a provider established in Boston, Massachusetts with a medical specialization in Transplant Surgery and more than 45 years of experience. The healthcare provider is registered in the NPI registry with number 1285656314 assigned on July 2006. The practitioner's primary taxonomy code is 204F00000X with license number 208430 (MA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1285656314
- Provider Name
- DR. TATSUO KAWAI MD PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 55 FRUIT STREET WHT 510B BOSTON, MA 02114
- Location Phone
- (617) 724-9996
- Location Fax
- (617) 726-3713
- Mailing Address
- PO BOX 9142 MASS GENERAL PHYSICIAN ORGAIZATION CHARLESTOWN, MA 02129
- Mailing Phone
- (617) 726-0289
- Mailing Fax
- (617) 726-3713
- Medical School Name
- OTHER
- Graduation Year
- 1981
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-25-2006
- Last Update Date
- 09-24-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Transplant Surgery
- Taxonomy Code
- 204F00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 208430
- License State
- MA
- Taxonomy Description
- A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 204F00000X | Allopathic & Osteopathic Physicians | Transplant Surgery | 042.0012768 (VT) |
| 2 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 208430 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H50156 | MEDICARE UPIN (02) | ||
| 208430 | OTHER (01) | MA | TUFTS HEALTH PLAN |
| J24185 | OTHER (01) | MA | BCBS MA |
| A33185 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | |
| 0153851 | MEDICAID (05) | MA |
Medicare Participation & PECOS Enrollment Status
Tatsuo Kawai is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Tatsuo Kawai is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2365502069
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20081126000236
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Unknown
Treatment-Treatment - Miscellaneous (RX029N)
Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)
4 DME suppliers used 26 Medicare Claims 4020 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Mycophenolate mofetil, oral, 250 mg (HCPCS:J7517)
3 DME suppliers used 24 Medicare Claims 2190 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)
3 DME suppliers used 25 Medicare Claims 25 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)
4 DME suppliers used 24 Medicare Claims 25 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Creation of artery-vein connection using tube graft for hemodialysis
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Hospital discharge day management, 30 minutes or less
Initial hospital inpatient care per day, typically 50 minutes
Preparation of donor kidney for transplantation
Removal of abdominal cavity tube
Transplantation of donor kidney
This procedure involves connecting an artery to a vein using a tube graft. It's typically done for hemodialysis, a treatment for kidney disease. The connection allows blood to flow from the artery into the graft, then into the vein, and back to your body.
This service was performed 11 times for 11 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 21 times for 20 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 64 times for 56 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 139 times for 48 patientsHospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
This service was performed 21 times for 18 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 22 times for 22 patientsPreparation of a kidney for transplantation involves careful evaluation of the donor organ. It includes checking for diseases, ensuring compatibility, and preserving the organ in a cold solution until transplantation. This process ensures the best outcome for the recipient.
This service was performed 16 times for 16 patientsThe removal of an abdominal cavity tube is a medical procedure that involves taking out a tube previously placed in your abdomen. This tube may have been used to drain fluid, air, or pus from your abdominal area. The process is safe, typically quick, and done by a healthcare professional.
This service was performed 11 times for 11 patientsTransplantation of a donor kidney involves replacing a non-functioning kidney with a healthy one from a donor. This procedure can significantly improve the quality of life for those with serious kidney disease. The new kidney can perform the essential task of filtering blood and removing waste.
This service was performed 16 times for 16 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Tatsuo Kawai is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT STREET BOSTON, MA 02114 | (617) 724-9725 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 5 | 6 | 3 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 5 | 12 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 5 + 1 + 2 + 3 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1285656314 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962492603 | DR. MARYETTA E. KING M.D. Individual | Pediatrics | 55 FRUIT STREET YAWKEY 5-062 MASSACHUSETTS GENERAL HOSPITAL BOSTON, MA 02114 (617) 726-3826 |
| 1457341646 | DR. XIANGWEI ZHANG MD MS Individual | Anesthesiology | 55 FRUIT STREET CLN 309 BOSTON, MA 02114 (617) 726-3030 |
| 1134119449 | DR. VILMA ENID ORTIZ MD Individual | Anesthesiology | 55 FRUIT STREET CLN 3 BOSTON, MA 02114 (617) 726-3452 |
| 1639160765 | DR. CAMMIE FAITH LESSER MD PHD Individual | Internal Medicine | 55 FRUIT STREET FND 8 BOSTON, MA 02114 (617) 726-3812 |
| 1780674812 | DR. FUMITO ICHINOSE MD Individual | Anesthesiology | 55 FRUIT STREET CLN 3 BOSTON, MA 02114 (617) 726-8980 |
| 1063402139 | DR. GEORGE WILLIAM DEC JR. MD Individual | Internal Medicine | 55 FRUIT STREET YAW 5 BOSTON, MA 02114 (617) 726-8237 |
| 1316928773 | DR. ATHE MICHAELNOEL TSIBRIS MD Individual | Internal Medicine | 55 FRUIT STREET GRJ 504 BOSTON, MA 02114 (617) 726-3812 |
| 1265414551 | DR. RAFAEL VICENTE PIERETTI MD Individual | Urology (Pediatric Urology) | 55 FRUIT STREET WRN 11 BOSTON, MA 02114 (617) 724-0518 |
| 1689656738 | DR. J KENNETH DAVISON MD DDS Individual | Anesthesiology | 55 FRUIT STREET GRB 406E BOSTON, MA 02114 (617) 724-7181 |
| 1710969233 | DR. SUSAN ROVAINE BROWN MD Individual | Psychiatry & Neurology (Psychiatry) | 55 FRUIT STREET WHT 130 BOSTON, MA 02114 (617) 726-2994 |
| 1992788988 | DR. PAUL E HESTERBERG MD Individual | Internal Medicine | 55 FRUIT STREET MASSACHUSETTS GENERAL HOSPITAL COX BUILDING 201 BOSTON, MA 02114 (617) 726-3850 |
| 1912980806 | DR. AHMED BASSEM ELAINI MD Individual | Radiology (Diagnostic Radiology) | 55 FRUIT STREET FND 216 RADIOLOGICAL ASSOCIATES BOSTON, MA 02114 (617) 724-4255 |
| 1649253386 | DR. CHRISTIANA A IYASERE MD Individual | Internal Medicine | 55 FRUIT STREET BAR 917 MEDICAL ACCESS UNIT BOSTON, MA 02114 (617) 724-7491 |
| 1225012560 | FRANK E HOKEMA MD Individual | Anesthesiology | 55 FRUIT STREET CLN 309 BOSTON, MA 02114 (617) 726-3030 |
| 1063496479 | DR. JENNIFER S TEMEL MD Individual | Internal Medicine (Medical Oncology) | 55 FRUIT STREET YAW 7B HEMATOLOGY/ONCOLOGY BOSTON, MA 02114 (617) 724-1136 |
| 1801870910 | DR. REX NEAL SMITH MD PHD Individual | Pathology (Immunopathology) | 55 FRUIT STREET WRN 2 PATHOLOGY ASSOCIATES BOSTON, MA 02114 (617) 726-1835 |
| 1609851658 | DR. ROBERT L DOYLE MD Individual | Psychiatry & Neurology (Psychiatry) | 55 FRUIT STREET YAW 6900 CHILD & ADOLESCENT PSYCHIATRY BOSTON, MA 02114 (617) 726-6300 |
| 1457336125 | DR. PETER FRANCIS DUNN MD Individual | Anesthesiology (Critical Care Medicine) | 55 FRUIT STREET CLN 2 ANESTHESIA ASSOCIATES BOSTON, MA 02114 (617) 726-7542 |
| 1518946441 | DR. MARIA TERESA VIVALDI MD Individual | Internal Medicine (Cardiovascular Disease) | 55 FRUIT STREET VBK 508 BOSTON, MA 02114 (617) 726-8871 |
| 1144209461 | DR. SHABIN NANJI MBBC Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 55 FRUIT STREET MASSACHUSETTS GENERAL HOSPITAL WRN 219 BOSTON, MA 02114 (617) 724-1422 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285656314, enumerated in the NPI registry as an "individual" on July 25, 2006
The provider is located at 55 Fruit Street Wht 510b Boston, Ma 02114 and the phone number is (617) 724-9996
The provider's speciality is Transplant Surgery with taxonomy code 204F00000X
The provider has more than 45 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Creation of artery-vein connection using tube graft for hemodialysis, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Hospital discharge day management, 30 minutes or less, Initial hospital inpatient care per day, typically 50 minutes, Preparation of donor kidney for transplantation, Removal of abdominal cavity tube and Transplantation of donor kidney.
The practitioner is affiliated to the following hospital(s): MASSACHUSETTS GENERAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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