Individual provider Active NPI

Bernice Co Yap, M.D.

  • Family Medicine Physician
  • Lihue, HI
National Provider Identifier
1255770624
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD18429 Issued in HI
Practice address
3216 Elua St
Lihue, HI 96766-1213
Phone
(808) 246-3800
Fax
(808) 246-3801
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD18429 HI Primary
Family Medicine Physician 207Q00000X 573605 TX

Addresses

Primary practice location

3216 Elua St
Lihue, HI 96766-1213

Mailing address

3216 Elua St
Lihue, HI 96766-1213
Phone (808) 246-3800

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
I20160531002582 HI Practitioner - Family Practice 7012207244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kauai Medical ClinicGroup PAC ID 5092628479, 147 clinicians

Practice addresses (Care Compare)

4-831 Kuhio Hwy
Suite 332 372
Kapaa, HI 96746-1578
Phone (808) 822-3431

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18429HIMDFamily Medicine Physician
573605TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Medical Clinic CurrentSince Nov 13, 2023 Accepting new patients
Kauai Medical Clinic CurrentSince Nov 13, 2023 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients

Locations

4-831 Kuhio Hwy
Ste 332
Kapaa, HI 96746

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

Organizations & group practices 3

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1255770624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 ELUA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661213",
            "telephone_number": "808-246-3800",
            "fax_number": "808-246-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 ELUA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661213",
            "telephone_number": "808-246-3800",
            "fax_number": "808-246-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAP",
        "first_name": "BERNICE",
        "middle_name": "CO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD18429",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "573605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.