NPIMap

Individual provider Active NPI

Keolamau Siu Lin Yee, MD

  • Internal Medicine Physician
  • Aiea, HI
National Provider Identifier
1922569441
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22457 Issued in HI
Practice address
98-1079 Moanalua Rd Ste 500
Aiea, HI 96701-4794
Phone
(808) 488-0990
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X HI
Internal Medicine Physician 207R00000X 22457 HI Primary

Addresses

Primary practice location

98-1079 Moanalua Rd Ste 500
Aiea, HI 96701-4794

Mailing address

98-1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (808) 488-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809002605 HI Practitioner - Internal Medicine 5799167656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pearl City Medical Associates IncGroup PAC ID 1456332238, 8 clinicians

Practice addresses (Care Compare)

98 -1079 Moanalua Rd
Suite 500
Aiea, HI 96701-4794
Phone (808) 488-0990

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Kahua Home Health Services, Inc. Home health agency, Honolulu, HI, CCN 127315
  • Home Health Honolulu Home health agency, Honolulu, HI, CCN 127025
  • Bristol Hospice - Hawaii, LLC Hospice, Honolulu, HI, CCN 121508
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22457HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl City Medical Associates, Inc. Internal Medicine CurrentSince Sep 12, 2022 Accepting new patients
Inteleretina Professional Group LLC PastSince Sep 11, 2022 Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 500
Aiea, HI 96701
Phone (808) 488-0990

Organizations & group practices 2

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 9

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1922569441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-488-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 500",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014794",
            "telephone_number": "808-488-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "KEOLAMAU",
        "middle_name": "SIU LIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "22457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.