Individual provider Active NPI

David Wing Lee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lahaina, HI
National Provider Identifier
1245554138
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO-202 Issued in HI
Practice address
40 Kupuohi St Ste 204
Lahaina, HI 96761
Phone
(808) 727-2117
Fax
(808) 793-2238
NPI assigned
Mar 21, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Kupuohi St
Suite 204
Lahaina, HI 96761-2714
Phone (808) 727-2117

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Wailuku, HI, CCN 127309
  • Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue97
Removal of skin lesions67
Removal of nail tissue150
Removal or shaving of skin growth31

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131205001654 HI Practitioner - Podiatry 6709013345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Island Foot and Ankle Specialists LLC Foot & Ankle Surgery CurrentSince May 31, 2020 Accepting new patients
Pono Podiatry, LLC CurrentSince Dec 7, 2017 Accepting new patients

Locations

415 Dairy Rd
Ste D
Kahului, HI 96732
Phone (808) 877-3668

40 Kupuohi St
Ste 204
Lahaina, HI 96761
Phone (808) 727-2117

Interoperability endpoints

  • Direct secure messaging: david.wing.lee@3164535390212.direct.elationemr.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO-202 HI Primary

Addresses

NPPES NPI Registry

Primary practice location

40 Kupuohi St Ste 204
Lahaina, HI 96761

Mailing address

40 Kupuohi St Ste 204
Lahaina, HI 96761-2714
Phone (808) 727-2117

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
743270MedicaidHI
E11311OtherHIHI CONTROLLED SUBSTANCE
PO-202OtherHIMEDICAL LICENSE
12579715OtherCAQH
1PD0050805OtherPICA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245554138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 KUPUOHI ST STE 204",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612714",
            "telephone_number": "808-727-2117",
            "fax_number": "808-793-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 KUPUOHI ST STE 204",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "96761",
            "telephone_number": "808-727-2117",
            "fax_number": "808-793-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "middle_name": "WING",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "HI",
            "license": "PO-202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "743270",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HI CONTROLLED SUBSTANCE",
            "identifier": "E11311",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PO-202",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12579715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PICA",
            "identifier": "1PD0050805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lahaina, HI

Sources for this page

Verify at the official NPI Registry.