Kendrick W. Lee, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD-10714 Issued in HI

Practice address

407 Uluniu St
4TH Floor
Kailua, HI 96734-2519

Phone

(808) 261-3326

Fax

(808) 263-4604

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Emergency Medicine

Education

University of Hawaii John a. Burns School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maui Memorial Emergency Medical Associates IncGroup PAC ID 7618224981, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Maui Memorial Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • Wailuku, HI
  • NPI 1326531773
  Medicare reassignment Care Compare group NPD
• Lanai Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • Lanai City, HI
  • NPI 1902388085
  Medicare reassignment NPD
• Midpacific Hospitalists LLC

  • Internal Medicine Physician
  • Kailua, HI
  • NPI 1053778217
  NPD (past)

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

• Maui Health System a Kaiser Foundation Hospitals LLC

  • General Acute Care Hospital
  • Wailuku, HI
  • NPI 1013379460
  Care Compare affiliation

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265531776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST",
            "address_2": "4TH FLOOR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342519",
            "telephone_number": "808-261-3326",
            "fax_number": "808-263-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST",
            "address_2": "4TH FLOOR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342519",
            "telephone_number": "808-261-3326",
            "fax_number": "808-263-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KENDRICK",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-10714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000217075",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251162",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bennett O. Lee, MD
• Jennifer G. Lee, M.D.
• Jennifer M Lee, DPM
• Julie F Lee, D.P.T.
• Kaitlin Elizabeth Lee, DDS
• Kira Yah Fun Lee, LCSW
• Le Kim Lee, D.O.
• Margaret Lee, DDS
• Vincent P Lee, MD
• Virginia Parsons Lee, C.N.M.

• Emergency Medicine Physician in Kailua, HI
• Providers in Kailua, HI by specialty
• Emergency Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.