Organization Active NPI

Michael Y.T. Yee, M.D., Inc.

  • Specialist
  • Kailua, HI
National Provider Identifier
1346505690
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5733MD Issued in HI
Legal business name
MICHAEL Y.T. YEE, M.D., INC.
Practice address
642 Ulukahiki St
Suite 211
Kailua, HI 96734-4400
Phone
(808) 261-0765
Fax
(808) 262-5636
NPI assigned
Jul 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Michael Yick Tim Yee, M.D.NPI 1710938675
Title
President
Phone
(808) 261-0765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 5733MD HI Primary

Addresses

Primary practice location

642 Ulukahiki St
Suite 211
Kailua, HI 96734-4400

Mailing address

642 Ulukahiki Street
Suite 211
Kailua, HI 96734-4439
Phone (808) 261-0765

Other identifiers 3

IdentifierTypeStateIssuer
459626OtherHIOHANA
A06239-6OtherHIHMSA
05404201MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150731014688 HI Part B Supplier - Clinic/Group Practice 4284948530 Receives reassigned benefits from 1 practitioner
Practice locations: Kailua, HI

National Provider Directory

National Provider Directory

Locations

642 Ulukahiki St
Ste 211
Kailua, HI 96734
Phone (808) 261-0765

354 Uluniu St
Ste 100B
Kailua, HI 96734
Phone (808) 206-0928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1346505690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI STREET",
            "address_2": "SUITE 211",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344439",
            "telephone_number": "808-261-0765",
            "fax_number": "808-262-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST",
            "address_2": "SUITE 211",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344400",
            "telephone_number": "808-261-0765",
            "fax_number": "808-262-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL Y.T. YEE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "YICK TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-261-0765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "5733MD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHANA",
            "identifier": "459626",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "A06239-6",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05404201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.