Individual provider Active NPI

Myrna S Uytingco, M.D.

  • Internal Medicine Physician
  • Ewa Beach, HI
National Provider Identifier
1497790281
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-13833 Issued in HI
Practice address
91-2135 Fort Weaver Rd Ste 150
Ewa Beach, HI 96706-1929
Phone
(808) 691-3150
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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 MD-13833 HI Primary

Addresses

Primary practice location

91-2135 Fort Weaver Rd Ste 150
Ewa Beach, HI 96706-1929

Mailing address

91-2135 Fort Weaver Rd Ste 150
Ewa Beach, HI 96706-1929
Phone (808) 691-3150

Other identifiers 1

IdentifierTypeStateIssuer
00A848130MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200518002542 HI Practitioner - Internal Medicine 5193791382 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 2000
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)

1001 Queen St
Suite 102
Honolulu, HI 96814-5243
Phone (808) 462-5200

888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000

Hospital & facility affiliations

  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-13833HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Straub Clinic & Hospital CurrentSince May 12, 2025 Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
Castle Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Castle Medical Center Current Accepting new patients
The Queen'S Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Straub Clinic & Hospital CurrentSince May 12, 2025 Accepting new patients
Castle Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Straub Clinic & Hospital Past Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Internal Medicine PastSince Mar 17, 2010 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Internal Medicine Past Accepting new patients

Locations

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

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000

91-2135 Fort Weaver Rd
Ste 150
Ewa Beach, HI 96706
Phone (808) 676-5331

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

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

321 N Kuakini St
Ste 201
Honolulu, HI 96817
Phone (808) 523-8611

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1100 Ward Ave
Ste 700
Honolulu, HI 96814
Phone (808) 221-8580

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

Interoperability endpoints

  • Direct secure messaging: myrna.uytingco@43479566319620.direct.elationemr.com
  • Direct secure messaging: myrna.uytingco.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 11

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 1

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1497790281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD STE 150",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061929",
            "telephone_number": "808-691-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD STE 150",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061929",
            "telephone_number": "808-691-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYTINGCO",
        "first_name": "MYRNA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-13833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A848130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

Verify at the official NPI Registry.