Individual provider Active NPI

Kelly Yamasato, M.D.

  • Maternal & Fetal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1114138450
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
15082 Issued in HI
Practice address
1319 Punahou St Ste 824
Honolulu, HI 96826
Phone
(808) 203-6500
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4767 HI
Obstetrics & Gynecology Physician 207V00000X MD-15082 HI
Maternal & Fetal Medicine Physician 207VM0101X 15082 HI Primary

Addresses

Primary practice location

1319 Punahou St Ste 824
Honolulu, HI 96826

Mailing address

1319 Punahou St Ste 824
Honolulu, HI 96826-1032
Phone (808) 203-6500

Other practice location 1

1319 Punahou St Ste 824
Honolulu, HI 96826
Phone (808) 203-6500

Other identifiers 1

IdentifierTypeStateIssuer
MD-15082OtherHIDEPARTMENT OF COMMERCE & CONSUMER AFFAIRS

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
I20091005000228 HI Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 6204972359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Hawaii John a. Burns School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kapiolani Medical SpecialistsGroup PAC ID 0648183988, 103 clinicians

Practice addresses (Care Compare)

1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4767HIMDObstetrics & Gynecology Physician
15082HIMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Veterans Memorial Hospital CurrentSince Dec 24, 2023 Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Kapiolani Medical Specialists CurrentSince Nov 1, 2021 Accepting new patients
Kapiolani Medical Center Past Accepting new patients
Community Clinic of Maui, Inc. PastSince Jun 9, 2026 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 3010
Aiea, HI 96701
Phone (808) 671-0090

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

1319 Punahou St
Ste 540
Honolulu, HI 96826
Phone (808) 983-6769

1319 Punahou St
Ste 824
Honolulu, HI 96826
Phone (808) 203-6500

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

Networks

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

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114138450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 824",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261032",
            "telephone_number": "808-203-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 824",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96826",
            "telephone_number": "808-203-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 Punahou St Ste 824",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "96826",
            "country_code": "US",
            "telephone_number": "808-203-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMASATO",
        "first_name": "KELLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "4767",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD-15082",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "HI",
            "license": "15082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF COMMERCE & CONSUMER AFFAIRS",
            "identifier": "MD-15082",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.