Individual provider Active NPI

Eric Mitsuo Yukumoto, PA-C

  • Physician Assistant
  • Honolulu, HI
National Provider Identifier
1841431400
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AMD-348 Issued in HI
Practice address
550 S Beretania St Ste 603
Honolulu, HI 96813-2496
Phone
(808) 447-7454
Fax
(808) 447-7456
NPI assigned
Mar 11, 2009
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AMD-348 HI Primary

Addresses

Primary practice location

550 S Beretania St Ste 603
Honolulu, HI 96813-2496

Mailing address

550 S Beretania St Ste 603
Honolulu, HI 96813-2496
Phone (808) 447-7454

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090519000293 HI Practitioner - Physician Assistant 8325197551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greg K Sakamoto MD LLCGroup PAC ID 9638201411, 3 clinicians

Practice addresses (Care Compare)

550 S Beretania St
Suite 603
Honolulu, HI 96813-2496
Phone (808) 447-7454

Merit-based Incentive Payment System (MIPS)

Final score
83.07 of 100Reported as group
Quality
66.13
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
U S Dermatology of Hawaii Inc Past Accepting new patients
Kawamura Eye Care, LLC PastSince Mar 25, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eric@sakamoto.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1841431400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST STE 603",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132496",
            "telephone_number": "808-447-7454",
            "fax_number": "808-447-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST STE 603",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132496",
            "telephone_number": "808-447-7454",
            "fax_number": "808-447-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUKUMOTO",
        "first_name": "ERIC",
        "middle_name": "MITSUO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.