Individual provider Active NPI

Janie Hea-Ryung Yoo, M.D.

  • Ophthalmology Physician
  • Lihue, HI
National Provider Identifier
1932393170
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
18657 Issued in HI
Practice address
4368 Kukui Grove St
Lihue, HI 96766-1674
Phone
(808) 378-9927
Fax
(808) 515-5061
NPI assigned
Aug 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 243630 MA
Ophthalmology Physician 207W00000X A103121 CA
Ophthalmology Physician 207W00000X M-2309 GU
Ophthalmology Physician 207W00000X 18657 HI Primary

Addresses

Primary practice location

4368 Kukui Grove St
Lihue, HI 96766-1674

Mailing address

4368 Kukui Grove St
Lihue, HI 96766-1674
Phone (808) 245-8765

Other practice location 1

3170 Jerves St Ste B
Lihue, HI 96766-3113
Phone (808) 378-9927

Other practice location 2

11370 Anderson St
Suite 1800
Loma Linda, CA 92354-3450
Phone (909) 558-2182

Other names 1

  • Dr. Janie Hea-Ryung Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, GU2 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
I20170512000757 HI Practitioner - Ophthalmology 0749314078 Reassigns benefits to 1 organization
I20220727003607 GU Practitioner - Ophthalmology 0749314078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Janie H Yoo MD LLCGroup PAC ID 9739598228, 3 clinicians

Practice addresses (Care Compare)

4368 Kukui Grove St
Suite 102
Lihue, HI 96766-2033
Phone (808) 245-8765

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243630MAMDOphthalmology Physician
A103121CAMDBehavioral Neurology & Neuropsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Janie H Yoo MD LLC Ophthalmology CurrentSince May 3, 2021 Accepting new patients
General Conference Corp of Sda CurrentSince Aug 1, 2022 Accepting new patients

Locations

4368 Kukui Grove St
Ste 102
Lihue, HI 96766
Phone (808) 245-8765

4368 Kukui Grove St
Lihue, HI 96766
Phone (808) 245-8765

3170 Jerves St
Ste B
Lihue, HI 96766
Phone (808) 245-8765

Interoperability endpoints

  • Direct secure messaging: jyoo@kauaieye.emadirect.md
  • Direct secure messaging: janie.yoo@adventistclinic.direct.eyemdemr.com

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 1

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": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1932393170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 KUKUI GROVE ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661674",
            "telephone_number": "808-245-8765",
            "fax_number": "808-245-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 KUKUI GROVE ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661674",
            "telephone_number": "808-378-9927",
            "fax_number": "808-515-5061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170 Jerves St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967663113",
            "country_code": "US",
            "telephone_number": "808-378-9927",
            "fax_number": "808-515-5061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11370 Anderson St",
            "address_2": "Suite 1800",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543450",
            "country_code": "US",
            "telephone_number": "909-558-2182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "JANIE",
        "middle_name": "HEA-RYUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "243630",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A103121",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GU",
            "license": "M-2309",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "18657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIE",
            "last_name": "LEE",
            "middle_name": "HEA-RYUNG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.