Individual provider Active NPI

Karen C. Yamaguchi, DPM

  • Foot Surgery Podiatrist
  • Honolulu, HI
National Provider Identifier
1215973029
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
123 Issued in HI
Practice address
615 Piikoi St
Suite 1401
Honolulu, HI 96814-3116
Phone
(808) 591-0020
Fax
(808) 591-0080
NPI assigned
Jun 21, 2006
Last updated
Sep 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1528 TX
Foot Surgery Podiatrist 213ES0131X 123 HI Primary

Addresses

Primary practice location

615 Piikoi St
Suite 1401
Honolulu, HI 96814-3116

Mailing address

615 Piikoi St
Suite 1401
Honolulu, HI 96814-3116
Phone (808) 591-0020

Other identifiers 2

IdentifierTypeStateIssuer
140993002MedicaidTX
0082FAOtherTXBC BS PROVIDER NUMBER

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130108000018 HI Practitioner - Podiatry 1951473701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karen C Yamaguchi DPM LLCGroup PAC ID 2769746189, 2 clinicians

Practice addresses (Care Compare)

615 Piikoi St
Suite 1401
Honolulu, HI 96814-3189
Phone (808) 591-0020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
10.6 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue40
Removal of nail tissue21
Removal or shaving of skin growth47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1528TXMDAddiction (Substance Use Disorder) Counselor
123HIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Hawaii LLC CurrentSince May 1, 2018 Accepting new patients
Karen C. Yamaguchi, DPM, LLC Foot Surgery CurrentSince May 1, 2018 Accepting new patients

Locations

615 Piikoi St
Ste 1401
Honolulu, HI 96814
Phone (808) 591-0020

Networks

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

Interoperability endpoints

  • Direct secure messaging: karen.yamaguchi@36334633353220.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1215973029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "SUITE 1401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143116",
            "telephone_number": "808-591-0020",
            "fax_number": "808-591-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "SUITE 1401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143116",
            "telephone_number": "808-591-0020",
            "fax_number": "808-591-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAGUCHI",
        "first_name": "KAREN",
        "middle_name": "C.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1528",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "HI",
            "license": "123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140993002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER NUMBER",
            "identifier": "0082FA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.