Active NPI
Christopher T Young, MD
- Family Medicine Physician
- Kapolei, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-15888
- Practice address
- 401 Kamokila Blvd
Kapolei, HI 96707-5607 - Phone
- (808) 432-3600
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00035371 | WA | |
| Family Medicine Physician | 207Q00000X | MD-15888 | HI | Primary |
Addresses
Primary practice location
401 Kamokila Blvd
Kapolei, HI 96707-5607
Mailing address
401 Kamokila Blvd
Kapolei, HI 96707-5607
Phone (808) 432-3600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930079971 | Other | WA | MEDICARE RAILROAD |
| 0128731 | Other | WA | LABOR AND INDUSTRIES |
| YO6417 | Other | WA | REGENCE RIDER |
| 5656031 | Other | WA | AETNA |
| 8933860 | Other | WA | L&I CVC |
| 8240962 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1010 Pensacola St
Honolulu, HI 96814-2118
Phone (808) 432-2000
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000
Hospital & facility affiliations
- Kaiser Foundation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-15888 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Permanente Medical Group Inc | Current | Accepting new patients | |
| Associated Emergency Room Physicians, Inc P.S. | Past | Accepting new patients | |
| South Hill Family Medicine PC | Family Medicine | Past | Accepting new patients |
Locations
1010 Pensacola St
Honolulu, HI 96814
Phone (808) 432-2000
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
401 Kamokila Blvd
Kapolei, HI 96707
Phone (808) 432-2000
94-1480 Moaniani St
Waipahu, HI 96797
Phone (808) 432-2000
94-1480 Moaniani St
Ofc
Waipahu, HI 96797
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.
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
-
- Emergency Medicine Physician
- Renton, WA
- NPI 1861480840
-
- Family Medicine Physician
- Puyallup, WA
- NPI 1538253331
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1396813861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1306909676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 KAMOKILA BLVD",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967075607",
"telephone_number": "808-432-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 KAMOKILA BLVD",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967075607",
"telephone_number": "808-432-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CHRISTOPHER",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2021-08-25",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00035371",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-15888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930079971",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0128731",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER",
"identifier": "YO6417",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5656031",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CVC",
"identifier": "8933860",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8240962",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "94-1480 Moaniani St",
"city": "Waipahu",
"state": "HI",
"country_code": "US",
"postal_code": "967974632",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.