Organization Active NPI

John C H Lee M D Inc

  • Clinic/Center
  • Honolulu, HI
National Provider Identifier
1376698886
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
440F-01 Issued in HI
Legal business name
JOHN C H LEE M D INC
Practice address
2153 N King St
Ste 321
Honolulu, HI 96819-4570
Phone
(808) 841-3644
Fax
(808) 841-3555
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
John CH Lee, MDNPI 1679731566
Title
Owner
Phone
(808) 841-3644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 440F-01 HI Primary

Addresses

Primary practice location

2153 N King St
Ste 321
Honolulu, HI 96819-4570

Mailing address

2153 N King St Ste 321
Honolulu, HI 96819-4559
Phone (808) 841-3644

Other identifiers 1

IdentifierTypeStateIssuer
05766101MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150224001700 HI Part B Supplier - Clinic/Group Practice 6608192356 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

2153 N King St
Ste 321
Honolulu, HI 96819
Phone (808) 841-3644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1376698886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 N KING ST STE 321",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194559",
            "telephone_number": "808-841-3644",
            "fax_number": "213-915-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 N KING ST",
            "address_2": "STE 321",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194570",
            "telephone_number": "808-841-3644",
            "fax_number": "808-841-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C H LEE M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-841-3644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": "440F-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05766101",
            "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 Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.