NPIMap

Individual provider Active NPI

Yupeng Liu, MD

  • Family Medicine Physician
  • Aiea, HI
National Provider Identifier
1376161133
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MDR-8004 Issued in HI
Practice address
98-1005 Moanalua Rd SPC 3030
Aiea, HI 96701-4735
Phone
(808) 627-3200
NPI assigned
Jul 8, 2020
Last updated
Jul 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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 MDR-8004 HI Primary

Addresses

Primary practice location

98-1005 Moanalua Rd SPC 3030
Aiea, HI 96701-4735

Mailing address

98-1005 Moanalua Rd SPC 3030
Aiea, HI 96701-4735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831002932 HI Practitioner - Family Practice 0547623969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Straub Clinic and HospitalGroup PAC ID 6305759754, 420 clinicians

Practice addresses (Care Compare)

95 -1249 Meheula Pkwy
Suite 187
Mililani, HI 96789-1791
Phone (808) 625-6444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR-8004HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Specialists CurrentSince Apr 9, 2022 Accepting new patients
Straub Clinic & Hospital CurrentSince Jul 24, 2023 Accepting new patients
Straub Clinic & Hospital CurrentSince Jul 24, 2023 Accepting new patients
University Clinical Education & Research Associates PastSince Jul 12, 2020 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 3030
Aiea, HI 96701
Phone (808) 627-3200

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

95-1249 Meheula Pkwy
Ste 187
Mililani, HI 96789
Phone (808) 282-6362

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1376161133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 3030",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 3030",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014735",
            "telephone_number": "808-627-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "YUPENG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MDR-8004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.