Individual provider Active NPI

Iris Kimhayoung Noh, MD

  • MOHS-Micrographic Surgery Physician
  • Honolulu, HI
National Provider Identifier
1104189356
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD-21172 Issued in HI
Practice address
500 Ala Moana Blvd Ste 4-470
Honolulu, HI 96813-4925
Phone
(808) 495-0906
Fax
(808) 495-4849
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD-21172 HI
MOHS-Micrographic Surgery Physician 207ND0101X MD-21172 HI Primary

Addresses

Primary practice location

500 Ala Moana Blvd Ste 4-470
Honolulu, HI 96813-4925

Mailing address

500 Ala Moana Blvd
4-470
Honolulu, HI 96813
Phone (808) 495-0906

Other names 1

  • Iris Ha Young Kim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210115001320 HI Practitioner - Dermatology 1052628849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Hawaii John a. Burns School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Dermatology of Hawaii LLCGroup PAC ID 1658899166, 2 clinicians

Practice addresses (Care Compare)

500 Ala Moana Blvd
Suite 470
Honolulu, HI 96813-4920
Phone (808) 495-0906

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of tissue1-10
Removal of skin lesions76
Removal of skin cancer136
Removal or shaving of skin growth1-10
Skin biopsy86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Dermatology of Hawaii LLC Dermatology CurrentSince Mar 1, 2025 Accepting new patients

Locations

500 Ala Moana Blvd
Bldg 4
Honolulu, HI 96813
Phone (808) 909-9115

500 Ala Moana Blvd
Ste 4470
Honolulu, HI 96813
Phone (808) 495-0906

500 Ala Moana Blvd
Ste 470
Honolulu, HI 96813
Phone (808) 495-0906

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1104189356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD",
            "address_2": "4-470",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-495-0906",
            "fax_number": "808-495-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 4-470",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134925",
            "telephone_number": "808-495-0906",
            "fax_number": "808-495-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOH",
        "first_name": "IRIS",
        "middle_name": "KIMHAYOUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "MD-21172",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "HI",
            "license": "MD-21172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "KIM",
            "middle_name": "HA YOUNG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.