Individual provider Active NPI

Luke Simon Olivera Yuhico, M.D.

  • Pulmonary Disease Physician
  • Fort Walton Beach, FL
National Provider Identifier
1740414465
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME125855 Issued in FL
Practice address
1005 Mar Walt Drive
Pulmonology Department
Fort Walton Beach, FL 32547-6796
Phone
(850) 243-0118
Fax
(850) 243-0594
NPI assigned
May 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME125855 FL
Pulmonary Disease Physician 207RP1001X ME125855 FL Primary

Addresses

Primary practice location

1005 Mar Walt Drive
Pulmonology Department
Fort Walton Beach, FL 32547-6796

Mailing address

1005 Mar Walt Drive
Pulmonology Department
Fort Walton Beach, FL 32547-6796
Phone (850) 243-0118

Other identifiers 2

IdentifierTypeStateIssuer
SRQW6OtherFLBCBSFL
015897100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160215001353 FL Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 6608027487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emerald Coast Infectious Diseases Medical Group, P.a. 35 clinicians

Practice addresses (Care Compare)

1025 Beal Pkwy N
Suite a
Fort Walton Beach, FL 32547-1481
Phone (850) 374-8220

Hospital & facility affiliations

  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223
  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME125855FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Hospital Services of Florida, LLC Critical Care Medicine CurrentSince Mar 1, 2020 Accepting new patients
Emerald Coast Infectious Diseases Medical Group, PA CurrentSince Jan 1, 2026 Accepting new patients
Emerald Coast Infectious Diseases Medical Group, P.a. Critical Care Medicine CurrentSince Jan 1, 2026 Accepting new patients
White-Wilson Medical Center PA CurrentSince Jan 1, 2016 Accepting new patients

Locations

1025 Beal Pkwy N
Ste A
Ft Walton Bch, FL 32547
Phone (850) 374-8220

917 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 862-3979

1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

Interoperability endpoints

  • Direct secure messaging: luke.yuhico.1@21123.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1241827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1740414465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DRIVE",
            "address_2": "PULMONOLOGY DEPARTMENT",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476796",
            "telephone_number": "850-243-0118",
            "fax_number": "850-243-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DRIVE",
            "address_2": "PULMONOLOGY DEPARTMENT",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476796",
            "telephone_number": "850-243-0118",
            "fax_number": "850-243-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUHICO",
        "first_name": "LUKE SIMON",
        "middle_name": "OLIVERA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-09",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME125855",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME125855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "SRQW6",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015897100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.