Individual provider Active NPI

Michael Yoichi Komeya, MD

  • Geriatric Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1265486518
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD8656 Issued in HI
Practice address
550 Halekauwila St
Suite 307
Honolulu, HI 96813-5035
Phone
(808) 545-5902
Fax
(808) 545-5932
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X MD8656 HI Primary

Addresses

Primary practice location

550 Halekauwila St
Suite 307
Honolulu, HI 96813-5035

Mailing address

550 Halekauwila St
Suite 307
Honolulu, HI 96813-5035
Phone (808) 545-5902

Other identifiers 7

IdentifierTypeStateIssuer
00C0200349OtherHIHMSA
MD8656-01OtherHIMDX HAWAII
00C0200349OtherHIHMSA-QUEST
990298651-96706-E035OtherHITRICARE
08776801MedicaidHI
087768-02MedicaidHI
3826OtherHIALOHACARE

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
I20070207000227 HI Practitioner - PsychiatryPractitioner - Other (Physician) 1759383516 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Hawaii John a. Burns School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1360 S Beretania St
Suite 210
Honolulu, HI 96814-1520
Phone (808) 545-5902

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD8656HIMDGeriatric Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1265486518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HALEKAUWILA ST",
            "address_2": "SUITE 307",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135035",
            "telephone_number": "808-545-5902",
            "fax_number": "808-545-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HALEKAUWILA ST",
            "address_2": "SUITE 307",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135035",
            "telephone_number": "808-545-5902",
            "fax_number": "808-545-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMEYA",
        "first_name": "MICHAEL",
        "middle_name": "YOICHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "HI",
            "license": "MD8656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00C0200349",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDX HAWAII",
            "identifier": "MD8656-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA-QUEST",
            "identifier": "00C0200349",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "990298651-96706-E035",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08776801",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087768-02",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE",
            "identifier": "3826",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.