Active NPI
Henry K Lee Loy, M.D.
- Specialist
- Hilo, HI
National Provider Identifier
1457459653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4855
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000016840 | Other | HI | HMSA PROVIDER NUMBER |
| 99 0239104 | Other | HI | HMAA INSURANCE |
| 99-0239104 | Other | HI | ALL OTHER INSURANCES |
| 015674 01 | Medicaid | HI | |
| 99 0239104 | Other | HI | HMA, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4855 | HI | MD | Specialist |
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.
-
- Internal Medicine Physician
- Hilo, HI
- NPI 1356475933
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.