Individual provider Active NPI

John CH Lee, MD

  • Specialist
  • Honolulu, HI
National Provider Identifier
1679731566
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7337 Issued in HI
Practice address
2153 N King St Ste 321
Honolulu, HI 96819-4559
Phone
(808) 841-3644
Fax
(808) 841-3555
NPI assigned
May 28, 2008
Last updated
Sep 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7337 HI Primary

Addresses

Primary practice location

2153 N King St Ste 321
Honolulu, HI 96819-4559

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
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
I20060104000213 HI Practitioner - Obstetrics/Gynecology 8527081611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Hawaii John a. Burns School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7337HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital CurrentSince Jun 3, 2015 Accepting new patients
North Hawaii Community Hospital, Inc CurrentSince Jun 3, 2015 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients
The Queens Medical Center Past Accepting new patients

Locations

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

Organizations & group practices 5

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1679731566",
    "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": "808-843-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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": "808-841-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "CH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "7337",
            "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

Verify at the official NPI Registry.