Active NPI
George B Lisehora, M.D.
- Specialist
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD5848
- Practice address
- 1380 Lusitana St
Suite 614
Honolulu, HI 96813-2449 - Phone
- (808) 524-1856
- Fax
- (808) 524-8331
- NPI assigned
- Jun 26, 2006
- 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 | MD5848 | HI | Primary |
Addresses
Primary practice location
1380 Lusitana St
Suite 614
Honolulu, HI 96813-2449
Mailing address
1380 Lusitana St
Suite 614
Honolulu, HI 96813-2449
Phone (808) 524-1856
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Jefferson Medical College of Thomas Jefferson University, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1380 Lusitana St
Suite 614
Honolulu, HI 96813-2442
Phone (808) 524-1856
Hospital & facility affiliations
- The Queens Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 86 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD5848 | HI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorectal Associates | Specialist | Current | Accepting new patients |
Locations
1401 S Beretania St
Ste 200
Honolulu, HI 96814
Phone (808) 312-6700
1380 Lusitana St
Ste 614
Honolulu, HI 96813
Phone (808) 524-1856
Interoperability endpoints
- george.lisehora@38062951497732.direct.elationemr.com
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 and National Provider Directory roles.
-
- Specialist
- Honolulu, HI
- NPI 1346303872
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881621985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 LUSITANA ST",
"address_2": "SUITE 614",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132449",
"telephone_number": "808-524-1856",
"fax_number": "808-524-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 LUSITANA ST",
"address_2": "SUITE 614",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132449",
"telephone_number": "808-524-1856",
"fax_number": "808-524-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISEHORA",
"first_name": "GEORGE",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "MD5848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- 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.