Individual provider Active NPI

Curtis W Lee, MD

  • Nephrology Physician
  • Hilo, HI
National Provider Identifier
1376537449
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
6209 Issued in HI
Practice address
24 Mauna Kea St
Hilo, HI 96720-3875
Phone
(808) 961-6655
Fax
(808) 935-5680
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 6209 HI Primary

Addresses

Primary practice location

24 Mauna Kea St
Hilo, HI 96720-3875

Mailing address

24 Mauna Kea St
Hilo, HI 96720-3875
Phone (808) 961-6655

Other identifiers 1

IdentifierTypeStateIssuer
05468001MedicaidHI

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
I20120416000046 HI Practitioner - Nephrology 5890956056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Hawaii John a. Burns School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Mauna Kea St
Hilo, HI 96720-3875
Phone (808) 961-6655

Hospital & facility affiliations

  • Liberty Dialysis Hawaii - Hilo Dialysis Dialysis facility, Hilo, HI, CCN 122507
  • Fresenius Kidney Care Hilo Lanikaula Dialysis facility, Hilo, HI, CCN 122543
  • Liberty Dialysis - North Hawaii, LLC Dialysis facility, Kamuela, HI, CCN 122519
  • Liberty Dialysis Hawaii - Kona Dialysis Dialysis facility, Kailua Kona, HI, CCN 122513
  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005
  • North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6209HIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis W Lee, M.D., Inc. Nephrology CurrentSince Aug 1, 1989 Accepting new patients
Maika'I Health Corporation PastSince Oct 7, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: curtis.lee@clee.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFECDA/Endpoint/AFECDA
  • Direct secure messaging: clee20718@hhsc.direct-ci.com
  • Direct secure messaging: curtis.lee@hawaiihie.medicity.net

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1376537449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAUNA KEA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203875",
            "telephone_number": "808-961-6655",
            "fax_number": "877-767-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MAUNA KEA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203875",
            "telephone_number": "808-961-6655",
            "fax_number": "808-935-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CURTIS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "6209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05468001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.