Active NPI
Melanie Lee, MD
- Internal Medicine Physician
- Honolulu, HI
National Provider Identifier
1104910686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD-9145
- Practice address
- 377 Keahole St
Honolulu, HI 96825-3405 - Phone
- (808) 691-4600
- Fax
- (808) 691-4559
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-9145 | HI | Primary |
Addresses
Primary practice location
377 Keahole St
Honolulu, HI 96825-3405
Mailing address
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 691-4600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A20360-2 | Other | HI | HMSA |
| 16523 | Other | HI | HMN |
| 507541 | Other | HI | UHA |
| 887893 | Other | HI | FIRST HEALTH |
| MD9145 | Other | HI | MDX |
| 076130-01 | Medicaid | HI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Queen'S Medical Center | Current | Accepting new patients | |
| The Queen'S Medical Center | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| Queen'S Development Corporation & Subsidiaries | Current | Accepting new patients | |
| Queen'S Development Corporation & Subsidiaries | Current | Accepting new patients | |
| Queen'S Development Corporation & Subsidiaries | Current | Accepting new patients |
Locations
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
550 S Beretania St
Honolulu, HI 96813
Phone (808) 528-2511
377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
Organizations & group practices 6
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.
-
- Clinic/Center
- Kapolei, HI
- NPI 1679768352
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- Health Service Clinic/Center
- Honolulu, HI
- NPI 1659835478
-
- Durable Medical Equipment & Medical Supplies
- Honolulu, HI
- NPI 1881695476
-
- Health Service Clinic/Center
- Honolulu, HI
- NPI 1336761311
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1104910686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PUNCHBOWL ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132402",
"telephone_number": "808-691-4600",
"fax_number": "808-691-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 KEAHOLE ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968253405",
"telephone_number": "808-691-4600",
"fax_number": "808-691-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MELANIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD-9145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "A20360-2",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMN",
"identifier": "16523",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "507541",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "887893",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDX",
"identifier": "MD9145",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076130-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.