Organization Active NPI

Mihae Yu M.D. Inc.

  • Surgery Physician
  • Honolulu, HI
National Provider Identifier
1952458705
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD4961 Issued in HI
Legal business name
MIHAE YU M.D. INC.
Practice address
1380 Lusitana St
Suite 804
Honolulu, HI 96813-2421
Phone
(808) 524-3020
Fax
(808) 524-8163
NPI assigned
Jan 4, 2007
Last updated
Oct 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Ms. Joyce Morita
Title
Office Manager
Phone
(808) 524-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD4961 HI Primary

Addresses

Primary practice location

1380 Lusitana St
Suite 804
Honolulu, HI 96813-2421

Mailing address

1380 Lusitana St
Suite 804
Honolulu, HI 96813-2421
Phone (808) 524-3020

Other identifiers 1

IdentifierTypeStateIssuer
01890803MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051027000381 HI Part B Supplier - Clinic/Group Practice 6901823103 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1380 Lusitana St
Ste 804
Honolulu, HI 96813
Phone (808) 524-3020

405 N Kuakini St
Ste 1106
Honolulu, HI 96817
Phone (808) 531-5993

405 N Kuakini St
Ste 1105
Honolulu, HI 96817
Phone (808) 532-2056

677 Ala Moana Blvd
Ste 1025
Honolulu, HI 96813
Phone (808) 535-5975

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1952458705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 804",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132421",
            "telephone_number": "808-524-3020",
            "fax_number": "808-524-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 804",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132421",
            "telephone_number": "808-524-3020",
            "fax_number": "808-524-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIHAE YU M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "MORITA",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-524-3020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD4961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01890803",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.