Kevin K. Lum, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

MD 11228 Issued in HI

Practice address

347 N Kuakini St
Honolulu, HI 96817-2336

Phone

(808) 547-9593

Fax

(808) 599-2714

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Emergency Medicine

Education

University of Hawaii John a. Burns School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Workstar Occupational Health Systems IncGroup PAC ID 8729978176, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.lum@hawaiihie.medicity.net

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.

• Workstar Occupational Health Systems Inc

  • Occupational Medicine Physician
  • Kapolei, HI
  • NPI 1619989597
  Medicare reassignment Care Compare group NPD
• Clinical Laboratories of Hawaii LLP

  • Clinical Medical Laboratory
  • Ewa Beach, HI
  • NPI 1134195357
  NPD (past)
• Islands Emergency Medical Service Hawaii, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Honolulu, HI
  • NPI 1154393353
  NPD (past)
• Summa Emergency Associates

  • Emergency Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1639317944
  NPD (past)
• Summa Emergency Associates, Inc.

  • Emergency Medicine Physician
  • Wooster, OH
  • NPI 1811936883
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710914569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 HALEOLA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212003",
            "telephone_number": "808-373-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172336",
            "telephone_number": "808-547-9593",
            "fax_number": "808-599-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "KEVIN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "HI",
            "license": "MD 11228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHIELD/HMSA",
            "identifier": "C0225866",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49629104",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn M Lum, DDS
• Jeffrey Lum
• Jennifer Lum, LMT
• Juliette Lum, DO
• Kara Lum, M.D.
• Kristina L Lum, PSY.D
• Laura Lee Lum, PHARM.D.
• Mark Andrew Apana Lum
• Mark C. Lum, MD
• Mark Kistler Lum, M.D.

• Emergency Medical Services (Emergency Medicine) Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.