Individual provider Active NPI

Sung S Yang, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1043470370
Registry record updated Apr 30, 2016
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Aug 19, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14745 Issued in HI
Practice address
2155 Kalakaua Ave
Ste 308
Honolulu, HI 96815-2354
Phone
(808) 871-7772
Fax
(808) 871-8540
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14745 HI Primary

Addresses

Primary practice location

2155 Kalakaua Ave
Ste 308
Honolulu, HI 96815-2354

Mailing address

PO Box 88084
Honolulu, HI 96830-8084
Phone (808) 342-6305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14745HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Clinic of Waikiki, LLC CurrentSince Dec 29, 2015 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. PastSince Jan 30, 2017 Accepting new patients

Locations

2155 Kalakaua Ave
Ste 308
Honolulu, HI 96815
Phone (808) 342-6305

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461974400000",
    "number": "1043470370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88084",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968308084",
            "telephone_number": "808-342-6305",
            "fax_number": "808-568-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 KALAKAUA AVE",
            "address_2": "STE 308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152354",
            "telephone_number": "808-871-7772",
            "fax_number": "808-871-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "SUNG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2016-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "14745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.