Leon Matsuo MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD16101 Issued in HI

Legal business name

LEON MATSUO MD INC

Doing business as

Kukui Lifestyle Medicine Clinic

Practice address

82-6066 Mamalahoa Hwy Ste 14
Captain Cook, HI 96704-8204

Phone

(808) 825-6557

Fax

(808) 731-6511

NPI assigned

Apr 5, 2018

Last updated

Feb 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leon Matsuo, MDNPI 1235334947

Title

Owner

Phone

(808) 825-6557

Specialties & licenses 1

Addresses

Other names 1

• Kukui Lifestyle Medicine Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18449/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Leon Matsuo, MD

  • Internal Medicine Physician
  • Captain Cook, HI
  • NPI 1235334947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1073019162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "CAPTAIN COOK",
            "state": "HI",
            "postal_code": "967040312",
            "telephone_number": "808-825-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82-6066 MAMALAHOA HWY STE 14",
            "city": "CAPTAIN COOK",
            "state": "HI",
            "postal_code": "967048204",
            "telephone_number": "808-825-6557",
            "fax_number": "808-731-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON MATSUO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "MATSUO",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-825-6557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD16101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kukui Lifestyle Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidemarie Koop
• Kenneth Arthur Kotner, LMT
• Thomas Langenstein, LMT
• Christopher Leimbach
• Uala Lenta, CPM
• William Scott Mandel, M.D.
• Marianne Jones, LCSW
• Leon Matsuo, MD
• Pauline Joan McGrath, LMT
• Heather Momi Nobriga, LMT

• Internal Medicine Physician in Captain Cook, HI
• Providers in Captain Cook, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.