Individual provider Active NPI

Cynthia Yukie Ohata, M.D.

  • Family Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1912949025
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036122730 Issued in IL
Practice address
9555 S 52ND Ave
Oak Lawn, IL 60453-3054
Phone
(708) 422-5700
Fax
(708) 422-8225
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00046115 WA
Family Medicine Physician 207Q00000X 036122730 IL Primary

Addresses

Primary practice location

9555 S 52ND Ave
Oak Lawn, IL 60453-3054

Mailing address

4140 Southwest Hwy
Hometown, IL 60456-1135
Phone (708) 422-5700

Other identifiers 1

IdentifierTypeStateIssuer
8463481MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cohata207572@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111208000609 IL Practitioner - Family Practice 8527065226 Reassigns benefits to 1 organization
I20250220001967 HI Practitioner - Family Practice 8527065226 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kauai Medical ClinicGroup PAC ID 5092628479, 147 clinicians
Pali Momi Medical CenterGroup PAC ID 6406746916, 90 clinicians

Practice addresses (Care Compare)

3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098
Phone (808) 245-1500

98 -1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (808) 486-6000

98 -1079 Moanalua Rd
Suite 680
Aiea, HI 96701-4725
Phone (808) 485-4250

Hospital & facility affiliations

  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036122730ILMDFamily Medicine Physician
MD00046115WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Center for Women & Children CurrentSince Mar 16, 2025 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Pali Momi Medical Center CurrentSince Mar 16, 2025 Accepting new patients
Straub Clinic & Hospital CurrentSince Mar 16, 2025 Accepting new patients
Straub Clinic & Hospital CurrentSince Mar 16, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Feb 2, 2016 Accepting new patients
Kauai Medical Clinic CurrentSince Mar 16, 2025 Accepting new patients
Pali Momi Medical Center CurrentSince Mar 16, 2025 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Mar 16, 2025 Accepting new patients
Kauai Medical Clinic CurrentSince Mar 16, 2025 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Feb 2, 2016 Accepting new patients
Straub Clinic & Hospital Past Accepting new patients
Pali Momi Medical Center Past Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 3030
Aiea, HI 96701
Phone (808) 627-3200

98-151 Pali Momi St
Ste 142
Aiea, HI 96701
Phone (808) 483-6400

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

1001 Queen St
Ste 102
Honolulu, HI 96814
Phone (808) 462-5200

7192 Kalanianaole Hwy
Ste A200
Honolulu, HI 96825
Phone (808) 396-6321

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1003 Bishop St
Ste 395
Honolulu, HI 96813
Phone (808) 535-1555

602 Kailua Rd
Ste 200
Kailua, HI 96734
Phone (808) 263-9100

46-056 Kamehameha Hwy
Ste 221
Kaneohe, HI 96744
Phone (808) 233-6200

4-831 Kuhio Hwy
Ste 332
Kapaa, HI 96746

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

95-390 Kuahelani Ave
Ste J1
Mililani, HI 96789
Phone (808) 751-2239

95-1249 Meheula Pkwy
Ste 187
Mililani, HI 96789
Phone (808) 282-6362

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

75 Remittance Dr
Dept 1611
Chicago, IL 60675

29373 Network Pl
Chicago, IL 60673

4140 Southwest Hwy
Oak Lawn, IL 60456
Phone (708) 422-5700

9555 S 52nd Ave
Oak Lawn, IL 60453
Phone (708) 422-5700

Interoperability endpoints

  • Direct secure messaging: cynthia.ohata.1@20867.direct.athenahealth.com
  • Direct secure messaging: cohata207572@direct.myadvocateaurora.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1912949025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 SOUTHWEST HWY",
            "city": "HOMETOWN",
            "state": "IL",
            "postal_code": "604561135",
            "telephone_number": "708-422-5700",
            "fax_number": "708-422-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 S 52ND AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533054",
            "telephone_number": "708-422-5700",
            "fax_number": "708-422-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHATA",
        "first_name": "CYNTHIA",
        "middle_name": "YUKIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00046115",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036122730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8463481",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cohata207572@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9555 S 52nd Ave",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604533054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9555 S 52nd Ave",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604533054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.