Individual provider Active NPI

Ted Lee, M.D.

  • Emergency Medicine Physician
  • Lihue, HI
National Provider Identifier
1134514383
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-22577 Issued in HI
Practice address
3-3420 Kuhio Hwy Ste B
Lihue, HI 96766-1098
Phone
(808) 246-2951
NPI assigned
Apr 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C193209 CA
Emergency Medicine Physician 207P00000X MD2017-0759 NM
Emergency Medicine Physician 207P00000X MD-22577 HI Primary

Addresses

Primary practice location

3-3420 Kuhio Hwy Ste B
Lihue, HI 96766-1098

Mailing address

3-3420 Kuhio Hwy Ste B
Lihue, HI 96766-1098
Phone (808) 245-1500

Other practice location 1

1 University Of New Mexico
Department of Emergency Medicine
Albuquerque, NM 87131-0001
Phone (505) 272-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NY, HI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180801001050 NM Practitioner - Emergency Medicine 1951615558 Reassigns benefits to 2 organizations
I20200414000699 NY Practitioner - Emergency Medicine 1951615558 Reassigns benefits to 1 organization
I20240606003595 HI Practitioner - Emergency Medicine 1951615558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Pittsburgh School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kauai Medical ClinicGroup PAC ID 5092628479, 147 clinicians

Practice addresses (Care Compare)

3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098
Phone (808) 245-1500

Merit-based Incentive Payment System (MIPS)

Final score
88.39 of 100Reported as group
Quality
79.9
Promoting interoperability
99
Improvement activities
40
Cost
82.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C193209CAMDEmergency Medicine Physician
MD-22577HIMDEmergency Medicine Physician
MD2017-0759NMMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. CurrentSince Jul 25, 2018 Accepting new patients
Kauai Medical Clinic CurrentSince Apr 29, 2024 Accepting new patients
Kauai Medical Clinic CurrentSince Apr 29, 2024 Accepting new patients
Bronxcare Health System Emergency Medicine CurrentSince Mar 31, 2020 Accepting new patients
Presbyterian Healthcare Services Current Accepting new patients
Unm Medical Group Inc CurrentSince Jul 25, 2018 Accepting new patients
Bronxcare Health System CurrentSince Mar 31, 2020 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Jan 13, 2019 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Jan 13, 2019 Accepting new patients

Locations

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

1202 Highway 60
Socorro, NM 87801
Phone (505) 835-1140

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1276 Fulton Ave
#228
Bronx, NY 10456

Interoperability endpoints

  • Direct secure messaging: tlee120161@direct.phs.org

Organizations & group practices 9

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": "1428105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1134514383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-3420 KUHIO HWY STE B",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661098",
            "telephone_number": "808-245-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-3420 KUHIO HWY STE B",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661098",
            "telephone_number": "808-246-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Of New Mexico",
            "address_2": "Department of Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "TED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-04",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C193209",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2017-0759",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-22577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.