Individual provider Active NPI

Leon Yongseok Kim, APRN-RX

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1821543703
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-2135 Issued in HI
Practice address
1215 Hunakai St
Honolulu, HI 96816-4661
Phone
(808) 691-7482
NPI assigned
Aug 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-2135 HI Primary

Addresses

Primary practice location

1215 Hunakai St
Honolulu, HI 96816-4661

Mailing address

915 N King St
Honolulu, HI 96817-4544
Phone (808) 848-1438

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161104001922 HI Practitioner - Nurse Practitioner 7113205550 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians
Ala Moana Walk-in Medical Clinic, IncGroup PAC ID 0446689871, 2 clinicians

Practice addresses (Care Compare)

1215 Hunakai St
Honolulu, HI 96816-4661
Phone (808) 691-8200

1380 Lusitana St
Honolulu, HI 96813-2448

1441 Kapiolani Blvd
Suite 420
Honolulu, HI 96814-4400
Phone (808) 498-7913

400 Keawe St
Honolulu, HI 96813-5199
Phone (808) 735-0007

449 Kapahulu Ave
Suite 104
Honolulu, HI 96815-3850
Phone (808) 735-0007

98-199 Kamehameha Hwy
BLDG F
Aiea, HI 96701-4821
Phone (808) 735-0007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ala Moana Walk-in Medical Clinic, Inc CurrentSince Mar 17, 2020 Accepting new patients
The Queens Medical Center CurrentSince Feb 18, 2019 Accepting new patients
Kalihi Palama Health Center CurrentSince Sep 24, 2016 Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
Kalihi Palama Health Center CurrentSince Sep 24, 2016 Accepting new patients
The Queen'S Medical Center CurrentSince Feb 18, 2019 Accepting new patients

Locations

91-2139 Fort Weaver Rd
Ste 101
Ewa Beach, HI 96706
Phone (808) 391-3340

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1215 Hunakai St
Honolulu, HI 96816
Phone (808) 686-4200

449 Kapahulu Ave
Ste 104
Honolulu, HI 96815
Phone (800) 735-0007

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

915 N King St
Honolulu, HI 96817
Phone (808) 848-1438

1441 Kapiolani Blvd
Ste 420
Honolulu, HI 96814
Phone (808) 256-1250

1600 Kapiolani Blvd
Ste 524
Honolulu, HI 96814
Phone (808) 203-3399

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

Organizations & group practices 6

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 1

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1821543703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174544",
            "telephone_number": "808-848-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HUNAKAI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164661",
            "telephone_number": "808-691-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LEON",
        "middle_name": "YONGSEOK",
        "credential": "APRN-RX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-19",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.