Individual provider Active NPI

Layne R. Yonehiro, MD

  • Surgery Physician
  • Pensacola, FL
National Provider Identifier
1083699276
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME35697 Issued in FL
Practice address
1717 N E St
Suite 533
Pensacola, FL 32501-6339
Phone
(850) 429-0102
Fax
(850) 429-0830
NPI assigned
Dec 9, 2005
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME35697 FL Primary

Addresses

Primary practice location

1717 N E St
Suite 533
Pensacola, FL 32501-6339

Mailing address

PO Box 30090
Pensacola, FL 32503-1090
Phone (850) 429-0102

Other identifiers 14

IdentifierTypeStateIssuer
113916MedicaidAL
17460OtherFLBLUE CROSS BLUE SHIELD
009912355MedicaidAL
038629400MedicaidFL
Z444OtherFLHEALTH FIRST NETWORK
009912365MedicaidAL
770003263OtherFLMEDICARE RAILROAD
515-13360OtherALBLUE CROSS BLUE SHIELD
101160MedicaidAL
592-08805OtherALBLUE CROSS BLUE SHIELD
511-13450OtherALBLUE CROSS BLUE SHIELD
59070273OtherALBLUE CROSS BLUE SHIELD
009912375MedicaidAL
591-97082OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080801000394 AL Practitioner - General SurgeryPractitioner - Vascular Surgery 8628051828 Reassigns benefits to 1 organization
I20100113000447 FL Practitioner - General Surgery 8628051828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Loma Linda University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresenius Vascular Care Pensacola LLCGroup PAC ID 0547549263, 6 clinicians

Practice addresses (Care Compare)

1121 Belleview Ave
Brewton, AL 36426-1500
Phone (251) 809-3230

1619 Creighton Rd
Suite 2
Pensacola, FL 32504-7152
Phone (850) 466-3843

401 Medical Park Dr
Atmore, AL 36502-3006
Phone (251) 368-2500

4800 N 9TH Ave
Pensacola, FL 32503-2447
Phone (850) 429-0102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.61 of 100Reported as group
Quality
47.32
Promoting interoperability
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal102
Leg revascularization (restoring blood flow)13
Removal of tissue41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Vascular Group LP Surgery CurrentSince Apr 1, 2003 Accepting new patients
Fresenius Vascular Care Pensacola LLC CurrentSince Mar 1, 2024 Accepting new patients
Southeast Vascular Group LP Surgery Past Accepting new patients
Southeast Vascular Group LP Surgery Past Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

406 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-6245

1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180

1040 Gulf Breeze Pkwy
Ste 203
Gulf Breeze, FL 32561
Phone (850) 908-3180

1040 Gulf Breeze Pkwy
Ste 207
Gulf Breeze, FL 32561
Phone (850) 934-3756

1619 Creighton Rd
#2
Pensacola, FL 32504
Phone (850) 466-3843

1717 N E St
Ste 238
Pensacola, FL 32501
Phone (850) 434-1863

1717 N E St
Ste 533
Pensacola, FL 32501
Phone (847) 899-0215

4800 N 9th Ave
Pensacola, FL 32503
Phone (850) 477-2054

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1083699276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30090",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031090",
            "telephone_number": "850-429-0102",
            "fax_number": "850-429-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "address_2": "SUITE 533",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-429-0102",
            "fax_number": "850-429-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONEHIRO",
        "first_name": "LAYNE",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME35697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113916",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17460",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912355",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038629400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST NETWORK",
            "identifier": "Z444",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912365",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "770003263",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "515-13360",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101160",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "592-08805",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "511-13450",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59070273",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912375",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "591-97082",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.