Individual provider Active NPI

Jeffrey K C Yeoh, MD

  • Diagnostic Radiology Physician
  • Honolulu, HI
National Provider Identifier
1124087333
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD8764 Issued in HI
Practice address
1481 S King St
Suite 202
Honolulu, HI 96814-2601
Phone
(808) 949-0091
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD8764 HI Primary

Addresses

Primary practice location

1481 S King St
Suite 202
Honolulu, HI 96814-2601

Mailing address

1481 S King St
Suite 210
Honolulu, HI 96814-2601
Phone (808) 949-0091

Other identifiers 4

IdentifierTypeStateIssuer
0000203364OtherHIHMSA
MD8764OtherHIQHC
07591001MedicaidHI
B003OtherHITRICARE

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
I20050906000587 HI Practitioner - Diagnostic Radiology 1254327810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Diagnostic Radiology Services LLCGroup PAC ID 0547253221, 16 clinicians

Practice addresses (Care Compare)

2230 Liliha St
Suite 106
Honolulu, HI 96817-7357
Phone (809) 949-0091

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD8764HIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Diagnostic Radiology Services LLC Diagnostic Radiology CurrentSince Aug 1, 1995 Accepting new patients

Locations

1481 S King St
Ste 202
Honolulu, HI 96814
Phone (808) 949-0091

2230 Liliha St
Ste 106
Honolulu, HI 96817
Phone (808) 949-0091

2228 Liliha St
Ste 305
Honolulu, HI 96817
Phone (808) 521-4344

1481 S King St
Ste 210
Honolulu, HI 96814

1520 Liliha St
Ste 202
Honolulu, HI 96817
Phone (808) 537-1911

94-229 Waipahu Depot St
Ste 100
Waipahu, HI 96797
Phone (808) 949-0091

Interoperability endpoints

  • Direct secure messaging: jeffrey.yeoh@hawaiihie.medicity.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1124087333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 S KING ST",
            "address_2": "SUITE 210",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142601",
            "telephone_number": "808-949-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 S KING ST",
            "address_2": "SUITE 202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142601",
            "telephone_number": "808-949-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEOH",
        "first_name": "JEFFREY",
        "middle_name": "K C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD8764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000203364",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QHC",
            "identifier": "MD8764",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07591001",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "B003",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.