Active NPI
Luke Simon Olivera Yuhico, M.D.
- Pulmonary Disease Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME125855
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SRQW6 | Other | FL | BCBSFL |
| 015897100 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160215001353 | FL | Practitioner - Critical Care (Intensivists) | 6608027487 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- 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.
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
- HCA Florida Twin Cities Hospital
- Sacred Heart Hospital on the Emerald Coast
- HCA Florida Gulf Coast Hospital
- North Okaloosa Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME125855 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hni Hospital Services of Florida, LLC | Critical Care Medicine | Current | Accepting new patients |
| Emerald Coast Infectious Diseases Medical Group, PA | Current | Accepting new patients | |
| Emerald Coast Infectious Diseases Medical Group, P.a. | Critical Care Medicine | Current | Accepting new patients |
| White-Wilson Medical Center PA | Current | 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
- 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.
-
- Infectious Disease Physician
- Fort Walton Beach, FL
- NPI 1720017882
Critical Care Medicine, FL
-
- Critical Care Medicine (Internal Medicine) Physician
- Panama City, FL
- NPI 1144851411
Critical Care Medicine, FL
-
- Community/Retail Pharmacy
- Fort Walton Beach, FL
- NPI 1154773950
-
- Clinic/Center
- Fort Walton Beach, FL
- NPI 1467437277
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
Hospital
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.