Individual provider Active NPI

Henry Hanalei Yang, M.D.

  • Psychiatry Physician
  • Hilo, HI
National Provider Identifier
1669504635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6654 Issued in HI
Practice address
101 Aupuni St
Suite 242
Hilo, HI 96720-4246
Phone
(808) 961-6069
Fax
(808) 969-1998
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 6654 HI Primary

Addresses

Primary practice location

101 Aupuni St
Suite 242
Hilo, HI 96720-4246

Mailing address

101 Aupuni St
Suite 242
Hilo, HI 96720-4246
Phone (808) 961-6069

Other identifiers 2

IdentifierTypeStateIssuer
052975-01MedicaidHI
B6062-0OtherHIHMSA

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
I20160310000458 HI Practitioner - Psychiatry 1759306566 Practice locations: Hilo, HI

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Hawaii John a. Burns School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Aupuni St
Hilo, HI 96720-4261
Phone (808) 961-6069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6654HIMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669504635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AUPUNI ST",
            "address_2": "SUITE 242",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204246",
            "telephone_number": "808-961-6069",
            "fax_number": "808-969-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUPUNI ST",
            "address_2": "SUITE 242",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204246",
            "telephone_number": "808-961-6069",
            "fax_number": "808-969-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "HENRY",
        "middle_name": "HANALEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "6654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052975-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B6062-0",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.