Individual provider Active NPI

Henry K Lee Loy, M.D.

  • Specialist
  • Hilo, HI
National Provider Identifier
1457459653
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4855 Issued in HI
Practice address
670 Ponahawai St Ste 218
Hilo, HI 96720-2660
Phone
(808) 969-2011
Fax
(808) 969-3480
NPI assigned
Sep 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4855 HI Primary

Addresses

Primary practice location

670 Ponahawai St Ste 218
Hilo, HI 96720-2660

Mailing address

670 Ponahawai St Ste 218
Hilo, HI 96720-2660
Phone (808) 969-2011

Other identifiers 5

IdentifierTypeStateIssuer
0000016840OtherHIHMSA PROVIDER NUMBER
99 0239104OtherHIHMAA INSURANCE
99-0239104OtherHIALL OTHER INSURANCES
015674 01MedicaidHI
99 0239104OtherHIHMA, INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4855HIMDSpecialist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457459653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 218",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-969-2011",
            "fax_number": "808-969-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 218",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-969-2011",
            "fax_number": "808-969-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE LOY",
        "first_name": "HENRY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "4855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NUMBER",
            "identifier": "0000016840",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMAA INSURANCE",
            "identifier": "99 0239104",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCES",
            "identifier": "99-0239104",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015674 01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA, INSURANCE",
            "identifier": "99 0239104",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.