Active NPI
Wesley K Young, MD
- Family Medicine Physician
- Honolulu, HI
National Provider Identifier
1053365700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-4417
- Practice address
- 1778 Ala Moana Blvd
Ul5
Honolulu, HI 96815-1605 - Phone
- (808) 955-5553
- Fax
- (808) 955-5575
- NPI assigned
- May 19, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-4417 | HI | Primary |
Addresses
Primary practice location
1778 Ala Moana Blvd
Ul5
Honolulu, HI 96815-1605
Mailing address
1778 Ala Moana Blvd
Ul5
Honolulu, HI 96815-1605
Phone (808) 955-5553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010603 | Medicaid | HI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-4417 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Graham Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053365700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1778 ALA MOANA BLVD",
"address_2": "UL5",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968151605",
"telephone_number": "808-955-5553",
"fax_number": "808-955-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1778 ALA MOANA BLVD",
"address_2": "UL5",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968151605",
"telephone_number": "808-955-5553",
"fax_number": "808-955-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "WESLEY",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-4417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010603",
"state": "HI"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.