Individual provider Active NPI

Yashoda Bhaskar, M.D.

  • Internal Medicine Physician
  • Kamuela, HI
National Provider Identifier
1336203363
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19585 Issued in HI
Practice address
65-1241 Pomaikai PL
Ste 6
Kamuela, HI 96743-7311
Phone
(808) 757-9292
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19585 HI Primary

Addresses

Primary practice location

65-1241 Pomaikai PL
Ste 6
Kamuela, HI 96743-7311

Mailing address

73-1225 Kauilaniakea Dr
Kailua Kona, HI 96740-7600
Phone (808) 989-6318

Other identifiers 1

IdentifierTypeStateIssuer
232517OtherWALNI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19585HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karuna MD LLC CurrentSince Feb 16, 2020 Accepting new patients
Pippen Health of California, P.C., a California Professional Corporati Internal Medicine Past Accepting new patients
Cloud Health Medical Group, P.a. Internal Medicine Past Accepting new patients

Locations

65-1241 Pomaikai Pl
Ste 6
Kamuela, HI 96743
Phone (808) 757-9292

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1336203363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73-1225 KAUILANIAKEA DR",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967407600",
            "telephone_number": "808-989-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1241 POMAIKAI PL",
            "address_2": "STE 6",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437311",
            "telephone_number": "808-757-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASKAR",
        "first_name": "YASHODA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "19585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI",
            "identifier": "232517",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.