Active NPI
Sung S Yang, M.D.
- Internal Medicine Physician
- Honolulu, HI
National Provider Identifier
1043470370
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.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14745
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14745 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Clinic of Waikiki, LLC | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Hawaii, L.L.C. | Past | 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.
-
- Urgent Care Clinic/Center
- Honolulu, HI
- NPI 1972718013
-
- Family Nurse Practitioner
- Kaneohe, HI
- NPI 1720329923
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.