Individual provider Active NPI

Jon Steven Yamaguchi, MD

  • Transplant Surgery Physician
  • Honolulu, HI
National Provider Identifier
1720006810
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
17065 Issued in HI
Practice address
550 S Beretania St
Suite 403
Honolulu, HI 96813-2414
Phone
(808) 523-5033
Fax
(808) 528-4713
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 056250 GA
Transplant Surgery Physician 204F00000X 042-0011342 VT
Transplant Surgery Physician 204F00000X 17065 HI Primary

Addresses

Primary practice location

550 S Beretania St
Suite 403
Honolulu, HI 96813-2414

Mailing address

550 S Beretania St
Suite 403
Honolulu, HI 96813-2414
Phone (808) 523-5033

Other identifiers 8

IdentifierTypeStateIssuer
3985266OtherGAAETNA HMO
930180OtherGABLUE SHIELD
2549145OtherGAUNITED HEALTHCARE OF GA
582030692OtherGACIGNA PPO
6799024001OtherGACIGNA HMO
7553699OtherGAAETNA PPO
186165877BOtherGAWELFARE ID
Y 20050801OtherGAPRIVATEHEALTHCARE SYSTEMS

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
I20130619000521 HI Practitioner - General Surgery 7315978483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castle Medical CenterGroup PAC ID 6608762778, 77 clinicians

Practice addresses (Care Compare)

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5142

Hospital & facility affiliations

  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
84.73
Promoting interoperability
89
Improvement activities
40
Cost
71.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy1-10
Hernia repair (minimally invasive)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17065HIMDTransplant Surgery Physician
042-0011342VTMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Medical Center CurrentSince Jan 20, 2022 Accepting new patients
Castle Medical Center CurrentSince Jan 20, 2022 Accepting new patients
Castle Medical Center Current Accepting new patients

Locations

642 Ulukahiki St
Ste 300
Kailua, HI 96734
Phone (808) 261-4166

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

642 Ulukahiki St
Ste 207
Kailua, HI 96734
Phone (808) 261-9931

642 Ulukahiki St
Ste 103
Kailua, HI 96734
Phone (808) 263-5009

Interoperability endpoints

  • Direct secure messaging: jon.yamaguchi@10973798596612.direct.elationemr.com

Organizations & group practices 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1720006810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST",
            "address_2": "SUITE 403",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132414",
            "telephone_number": "808-523-5033",
            "fax_number": "808-528-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST",
            "address_2": "SUITE 403",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132414",
            "telephone_number": "808-523-5033",
            "fax_number": "808-528-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAGUCHI",
        "first_name": "JON",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "GA",
            "license": "056250",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "VT",
            "license": "042-0011342",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "HI",
            "license": "17065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3985266",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "930180",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF GA",
            "identifier": "2549145",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "582030692",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "6799024001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7553699",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELFARE ID",
            "identifier": "186165877B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATEHEALTHCARE SYSTEMS",
            "identifier": "Y 20050801",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.