Individual provider Active NPI

Robert Jonathon York, MD

  • Emergency Medicine Physician
  • Kealakekua, HI
National Provider Identifier
1154908184
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-24289 Issued in HI
Practice address
79-1019 Haukapila St
Kealakekua, HI 96750-7920
Phone
(808) 322-9311
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD-24289 HI Primary

Addresses

Primary practice location

79-1019 Haukapila St
Kealakekua, HI 96750-7920

Mailing address

407 Uluniu St Ste 411
Kailua, HI 96734-2544
Phone (808) 261-3326

Other practice location 1

67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496
Phone (808) 885-4444

Other identifiers 1

IdentifierTypeStateIssuer
MD-24289OtherHIHAWAII MEDICAL LICENSE

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
I20240712003988 HI Practitioner - Emergency Medicine 0547646986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Emergency Physicians Associated IncGroup PAC ID 2860390283, 119 clinicians

Practice addresses (Care Compare)

67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 881-4730

Hospital & facility affiliations

  • North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028
  • Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019
  • Kohala Hospital Hospital, Kapaau, HI, CCN 121302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-24289HIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients

Locations

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

Organizations & group practices 2

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 3

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1154908184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST STE 411",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342544",
            "telephone_number": "808-261-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-1019 HAUKAPILA ST",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507920",
            "telephone_number": "808-322-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67-1125 Mamalahoa Hwy",
            "address_purpose": "LOCATION",
            "city": "Kamuela",
            "state": "HI",
            "postal_code": "967438496",
            "country_code": "US",
            "telephone_number": "808-885-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORK",
        "first_name": "ROBERT",
        "middle_name": "JONATHON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-24289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL LICENSE",
            "identifier": "MD-24289",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

Verify at the official NPI Registry.