Individual provider Active NPI

Mikela Haldeman Yarawamai, MD

  • Family Medicine Physician
  • Aiea, HI
National Provider Identifier
1346516580
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18016 Issued in HI
Practice address
98-1079 Moanalua Rd Ste 600
Aiea, HI 96701-4716
Phone
(808) 485-3032
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18016 HI Primary

Addresses

Primary practice location

98-1079 Moanalua Rd Ste 600
Aiea, HI 96701-4716

Mailing address

98-1079 Moanalua Rd Ste 600
Aiea, HI 96701-4716
Phone (808) 485-3032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151109002326 HI Practitioner - Family Practice 6002030038 Reassigns benefits to 1 organization
I20260624003890 MA Practitioner - Family Practice 6002030038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 Franklin St
Suite 1250
Boston, MA 02110-2847

Hospital & facility affiliations

  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18016HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Sep 28, 2015 Accepting new patients
Straub Clinic & Hospital CurrentSince Sep 28, 2015 Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 600
Aiea, HI 96701
Phone (808) 485-3032

98-151 Pali Momi St
Ste 142
Aiea, HI 96701
Phone (808) 483-6400

1946 Young St
Ste 320
Honolulu, HI 96826

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Interoperability endpoints

  • Direct secure messaging: mikela.yarawamai.1@22307.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1346516580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 600",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014716",
            "telephone_number": "808-485-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 600",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014716",
            "telephone_number": "808-485-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARAWAMAI",
        "first_name": "MIKELA",
        "middle_name": "HALDEMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "18016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.