Individual provider Active NPI

Sarah J. Seabolt, MD

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1083706477
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-5557 Issued in HI
Practice address
935 Makahiki Way
Honolulu, HI 96826-2896
Phone
(808) 922-4787
NPI assigned
Sep 29, 2006
Last updated
Mar 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 MD-5557 HI Primary

Addresses

Primary practice location

935 Makahiki Way
Honolulu, HI 96826-2896

Mailing address

277 Ohua Ave
Honolulu, HI 96815-6612
Phone (808) 922-4787

Other identifiers 2

IdentifierTypeStateIssuer
024749-02MedicaidHI
0000027581OtherHIHMSA BILLING NUMBER

Other names 1

  • Sarah J. Yim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071126000648 HI Practitioner - Internal Medicine 1951499086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Duke University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waikiki HealthGroup PAC ID 9335058536, 27 clinicians

Practice addresses (Care Compare)

845 22ND Ave
Suite 5
Honolulu, HI 96816-4521
Phone (808) 734-2034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-5557HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalihi Palama Health Center Current Accepting new patients
Waikiki Health CurrentSince Apr 15, 2015 Accepting new patients
Waikiki Health Current Accepting new patients
Waikiki Health Center CurrentSince Apr 15, 2015 Accepting new patients

Locations

277 Ohua Ave
Honolulu, HI 96815
Phone (808) 922-4787

845 22nd Ave
#5
Honolulu, HI 96816
Phone (808) 734-2034

915 N King St
Honolulu, HI 96817
Phone (808) 848-1438

935 Makahiki Way
Honolulu, HI 96826
Phone (808) 537-8366

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • Direct secure messaging: sarah.seabolt.1@15051.direct.athenahealth.com
  • Direct secure messaging: sarah.yim@hawaiihie.medicity.net

Organizations & group practices 4

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1083706477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 OHUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968156612",
            "telephone_number": "808-922-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MAKAHIKI WAY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262896",
            "telephone_number": "808-922-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABOLT",
        "first_name": "SARAH",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-5557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024749-02",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000027581",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "YIM",
            "middle_name": "J.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.