Individual provider Active NPI

Dhiraj Kumar Yadav, M.D.

  • Hematology & Oncology Physician
  • Wailuku, HI
National Provider Identifier
1104267608
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD-21913 Issued in HI
Practice address
85 Maui Lani Pkwy
Wailuku, HI 96793-2416
Phone
(808) 442-5700
Fax
(855) 827-2321
NPI assigned
Jul 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD-21913 HI Primary

Addresses

Primary practice location

85 Maui Lani Pkwy
Wailuku, HI 96793-2416

Mailing address

85 Maui Lani Pkwy
Wailuku, HI 96793-2416

Other practice location 1

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, HI2 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
I20160607002581 OH Practitioner - Internal Medicine 6406087790 Reassigns benefits to 2 organizations
I20220224000327 HI Practitioner - Hematology/Oncology 6406087790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Maui Health System a Kaiser Foundation Hospitals LLCGroup PAC ID 9830476159, 52 clinicians

Practice addresses (Care Compare)

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

Hospital & facility affiliations

  • Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002
  • Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-21913HIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Medical Clinic CurrentSince Nov 10, 2021 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Kauai Medical Clinic CurrentSince Nov 10, 2021 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Jun 27, 2023 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jul 1, 2016 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jan 1, 2024 Accepting new patients
Maui Medical Group Inc Internal Medicine Past Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

900 Havemann Rd
Ste B
Celina, OH 45822
Phone (419) 586-0990

11100 Euclid Ave
Cleveland Heights, OH 44106

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

803 W Market St
Ste 200
Lima, OH 45805
Phone (419) 222-3737

Networks

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

Interoperability endpoints

  • Direct secure messaging: dyadav1909040@direct.bsmhealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1104267608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MAUI LANI PKWY",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MAUI LANI PKWY",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932416",
            "telephone_number": "808-442-5700",
            "fax_number": "855-827-2321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Mahalani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932526",
            "country_code": "US",
            "telephone_number": "808-244-9056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADAV",
        "first_name": "DHIRAJ",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-12",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "HI",
            "license": "MD-21913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.