KELLY YAMASATO (M.D.) – Maternal & Fetal Medicine Physician, NPI 1114138450

KELLY YAMASATO (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 4767 (HI). The NPI Number for KELLY YAMASATO (M.D.) is 1114138450

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KELLY YAMASATO (M.D.)
NPI
1114138450
Phone
(808) 203-6500
Address
1319 Punahou St Ste 824
Enumeration Date
25 May 2007
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
8089836000
Graduation Year
2005 (21 years ago)
PAC ID
6204972359
Group Practice PAC ID
0648183988
Professional Enrollment ID
I20091005000228
Address ID
HI968261001HO1319XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:19State licenses:3Digital endpointsOther names

261 OBSTETRICS/GYNECOLOGY in HI

Provider Addresses for KELLY YAMASATO (M.D.)

  • 1319 Punahou St Ste 824

    Honolulu, HI 96826

    Phone: (808) 203-6500

    Type: Location

  • 824, Punahou Street, McCully, Honolulu, Honolulu County, Hawaii, 96826, United States

    HONOLULU, HI 968261032

    Phone: (808) 203-6500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091005000228IObstetrics/GynecologyHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96826)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648183988View full group profile
NameSpecialtyState
Pediatric MedicineHI
O B S T E T R I C S/ G Y N E C O L O G YHI
Diagnostic RadiologyHI
Pulmonary Disease, Pediatric MedicineCA
P S Y C H I A T R YHI
Critical Care (Intensivists)RI
O B S T E T R I C S/ G Y N E C O L O G YHI
Hospitalist, Pediatric MedicineHI
Nurse PractitionerHI
Diagnostic RadiologyHI

Reviews

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Frequently asked questions

What is KELLY YAMASATO (M.D.)'s NPI number?
KELLY YAMASATO (M.D.)'s NPI is 1114138450 — the number used across U.S. healthcare to identify this provider.
Is KELLY YAMASATO (M.D.) shown as active in public data?
Registry records indicate KELLY YAMASATO (M.D.) maintains an active NPI.
What expertise is attributed to KELLY YAMASATO (M.D.)?
KELLY YAMASATO (M.D.)'s specialty line reads Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KELLY YAMASATO (M.D.) associated with Honolulu?
Public fields place KELLY YAMASATO (M.D.) around Honolulu, Hawaii. Always confirm the exact site before visiting.
Does KELLY YAMASATO (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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