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DR. SEIJI YAMADA M.D.
NPI 1245300904
Family Medicine in Mililani, HI

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
86.27/100
CMS Quality Rating
95-390 KUAHELANI AVE, MILILANI, HI 96789(808) 627-3200(808) 623-7872 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Seiji Yamada M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SEIJI YAMADA M.D. (NPI 1245300904) is an individual family medicine provider in Mililani, Hawaii, licensed in Hawaii (MD - 8582) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Pali Momi Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1987).

NPPES Registry Identity

NPI1245300904
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SEIJI YAMADACredential: M.D.
Location Address95-390 KUAHELANI AVEMililani, HI 96789-1192
Mailing Address95-1107 Kopalani StMililani, HI 96789-4867 · (808) 358-3505 · Fax (808) 623-7872
Phone(808) 627-3200
Fax(808) 623-7872
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1987
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 29, 2011
✔ NPI 1245300904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in HI · MD - 8582
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

95-390 KUAHELANI AVE, Mililani, HI 96789
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedH00056247HI
Medicare UPINF73592HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Seiji Yamada M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799779393
PECOS Enrollment IDI20040414000922
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
117 services77 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services57 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120026
Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96789 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.87
Promoting Interoperability100
Improvement Activities40
Cost71.37

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTAL CARE CENTERS OF HAWAII, INC.
Dentist
95-390 KUAHELANI AVE, STE 4B
MILILANI, HI 96789
Honolulu County (808) 623-2888
KARI YANG LMFT
Marriage & Family Therapist
95-390 KUAHELANI AVE, SUITE 3AC - UNIT #5019
MILILANI, HI 96789
Honolulu County (808) 256-8904
DR. STEVEN A HANKINS M.D., M.P.H., M.T.S.
Family Medicine
95-390 KUAHELANI AVE, PHYSICIAN CENTER MILILANI
MILILANI, HI 96789
Honolulu County (808) 627-3200
MS. NICOLE CARDILLO OT/CHT
Occupational Therapist (Hand)
95-390 KUAHELANI AVE, 1C
MILILANI, HI 96789
Honolulu County (808) 445-4428
GEOFFREY ERIC REYNOLDS O.D.
Optometrist
95-390 KUAHELANI AVE
MILILANI, HI 96789
Honolulu County (808) 623-2866
DR. MELANIE MOANIKEALA PAYANAL M.D.
Family Medicine
95-390 KUAHELANI AVE
MILILANI, HI 96789
Honolulu County (808) 627-3230
RONALD R REYNOLDS O.D.
Optometrist
95-390 KUAHELANI AVE
MILILANI, HI 96789
Honolulu County (808) 623-2866
WAHIAWA GENERAL HOSPITAL
Family Medicine
95-390 KUAHELANI AVE
MILILANI, HI 96789
Honolulu County (808) 627-3200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seiji Yamada's NPI number?

The NPI number for Seiji Yamada is 1245300904. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Seiji Yamada located?

Seiji Yamada practices at 95-390 Kuahelani Ave, Mililani, HI 96789. The listed phone number is (808) 627-3200.

What is Seiji Yamada's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Seiji Yamada enrolled in Medicare?

Yes. Seiji Yamada is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Seiji Yamada accept?

Health plans from HMSA list Seiji Yamada as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Seiji Yamada affiliated with any hospitals?

According to CMS data, Seiji Yamada is affiliated with Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Seiji Yamada was last updated on July 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.