Individual provider Active NPI

Darrell Jun Lee, MD

  • Gastroenterology Physician
  • Aiea, HI
National Provider Identifier
1629021241
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
6606 Issued in HI
Practice address
98-211 Pali Momi St
Suite 312
Aiea, HI 96701-4301
Phone
(808) 486-0449
Fax
(808) 488-0725
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 6606 HI Primary

Addresses

Primary practice location

98-211 Pali Momi St
Suite 312
Aiea, HI 96701-4301

Mailing address

98-211 Pali Momi St Ste 312
Aiea, HI 96701-4306
Phone (808) 486-0449

Other identifiers 2

IdentifierTypeStateIssuer
D62689OtherHIHMSA
05433901MedicaidHI

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
I20090810000460 HI Practitioner - Gastroenterology 7315838372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Creighton University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Gastroenterology SpecialistGroup PAC ID 7618120437, 6 clinicians

Practice addresses (Care Compare)

98 -211 Pali Momi St
Suite 312
Aiea, HI 96701-4306
Phone (808) 486-0449

Hospital & facility affiliations

  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy556
Upper gastrointestinal (GI) endoscopy for acid reflux159
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6606HIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Gastroenterology Specialist Gastroenterology CurrentSince Oct 6, 2012 Accepting new patients
Yousif a-Rahim MD Inc Gastroenterology Past Accepting new patients

Locations

98-211 Pali Momi St
Ste 312
Aiea, HI 96701
Phone (808) 486-0449

Interoperability endpoints

  • Direct secure messaging: darrell.lee@754.chartlogic.direct-ci.com
  • Direct secure messaging: darrell.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 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1629021241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST STE 312",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014306",
            "telephone_number": "808-486-0449",
            "fax_number": "808-488-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST",
            "address_2": "SUITE 312",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014301",
            "telephone_number": "808-486-0449",
            "fax_number": "808-488-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DARRELL",
        "middle_name": "JUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "HI",
            "license": "6606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "D62689",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05433901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.