NPIMap

Individual provider Active NPI

Justin James Yukio Yamanuha, M.D.

  • Ophthalmology Physician
  • Edina, MN
National Provider Identifier
1487880274
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
59627 Issued in MN
Practice address
3601 W 76TH St Ste 325
Edina, MN 55435-5242
Phone
(952) 929-1131
Fax
(952) 929-8873
NPI assigned
Jun 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P6116 TX
Ophthalmology Physician 207W00000X MDR-5720 HI
Ophthalmology Physician 207W00000X 55730 WI
Ophthalmology Physician 207W00000X 59627 MN Primary
Ophthalmology Physician 207W00000X MD-43103 IA
Ophthalmology Physician 207W00000X ME119295 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X 59627 MN

Addresses

Primary practice location

3601 W 76TH St Ste 325
Edina, MN 55435-5242

Mailing address

3601 W 76TH St Ste 325
Edina, MN 55435-5242
Phone (952) 929-1131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20150910000055 MN Practitioner - Ophthalmology 1951532407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Hawaii John a. Burns School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitreoretinal Surgery PLLCGroup PAC ID 6709899768, 23 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

3601 W 76TH St
Suite 300
Minneapolis, MN 55435-3004
Phone (952) 929-1131

516 Delaware St SE
Minneapolis, MN 55455-0356
Phone (612) 672-7422

Hospital & facility affiliations

  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR-5720HIMDOphthalmology Physician
P6116TXMDOphthalmology Physician
55730WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Aug 30, 2019 Accepting new patients
Vitreoretinal Surgery PLLC Ophthalmology CurrentSince Jan 2, 2026 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Fairview Express Care CurrentSince Aug 30, 2019 Accepting new patients
University of Miami Past Accepting new patients
Retina Center PA Retina Specialist PastSince Jan 2, 2026 Accepting new patients

Locations

2830 Cutters Grove Ave
Ste 100
Anoka, MN 55303
Phone (612) 871-2292

3601 W 76th St
Fl 3
Edina, MN 55435

3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

3601 W 76th St
Ste 325
Minneapolis, MN 55435
Phone (952) 929-1131

720 Washington Ave SE
Ste 200
Minneapolis, MN 55414
Phone (612) 730-1345

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1244332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1487880274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 325",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355242",
            "telephone_number": "952-929-1131",
            "fax_number": "952-929-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 325",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355242",
            "telephone_number": "952-929-1131",
            "fax_number": "952-929-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMANUHA",
        "first_name": "JUSTIN",
        "middle_name": "JAMES YUKIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-07",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P6116",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MDR-5720",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "55730",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "59627",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "MD-43103",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME119295",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MN",
            "license": "59627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.