DR. KIYOTAKA ALBERT YAZAWA (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1184694192

DR. KIYOTAKA ALBERT YAZAWA (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in GERIATRIC MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD-11070 (HI). The NPI Number for DR. KIYOTAKA ALBERT YAZAWA (M.D.) is 1184694192

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIYOTAKA ALBERT YAZAWA (M.D.)
NPI
1184694192
Phone
(808) 737-8212
Address
1508B PUALELE PL
Enumeration Date
23 January 2006
Last Update Date
24 January 2013

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
8085224000
Graduation Year
1998 (28 years ago)
PAC ID
7810937034
Group Practice PAC ID
6305759754
Professional Enrollment ID
I20050506000616
Address ID
HI968133097HO888XXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

56 GERIATRIC MEDICINE in HI

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Provider Addresses for DR. KIYOTAKA ALBERT YAZAWA (M.D.)

  • Pualele Place, Pālolo, East Honolulu, Honolulu, Honolulu County, Hawaii, 96828, United States

    HONOLULU, HI 968163326

    Phone: (808) 737-8212

    Type: Mailing

  • 1027, Hala Drive, Kapalama, Honolulu, Honolulu County, Hawaii, 96817, United States

    MALUHIA

    HONOLULU, HI 96817

    Phone: (808) 832-6129

    Fax: (808) 832-1932

    Type: Location

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: 2005-05-06

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
I20050506000616IGeriatric MedicineHITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes230104$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes119104$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5137$0
99316Nursing facility discharge management, more than 30 minutes3737$0
View full utilization report →

Insurance plans in this area (ZIP 96816)

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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: 6305759754View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. KIYOTAKA ALBERT YAZAWA (M.D.) in U.S. healthcare records?
The official identifier for DR. KIYOTAKA ALBERT YAZAWA (M.D.) is NPI 1184694192.
Would DR. KIYOTAKA ALBERT YAZAWA (M.D.) appear as active to a payer?
You can treat DR. KIYOTAKA ALBERT YAZAWA (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. KIYOTAKA ALBERT YAZAWA (M.D.)?
DR. KIYOTAKA ALBERT YAZAWA (M.D.)'s specialty line reads Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Hawaii is DR. KIYOTAKA ALBERT YAZAWA (M.D.) registered?
Use Honolulu, Hawaii as the headline location for DR. KIYOTAKA ALBERT YAZAWA (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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