Individual provider Active NPI

Le Kim Lee, D.O.

  • Family Medicine Physician
  • Kailua, HI
National Provider Identifier
1891825014
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOS-1885 Issued in HI
Practice address
970 N Kalaheo Ave Ste C306
Kailua, HI 96734-1873
Phone
(808) 263-7383
Fax
(808) 237-5828
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOS-1885 HI Primary

Addresses

Primary practice location

970 N Kalaheo Ave Ste C306
Kailua, HI 96734-1873

Mailing address

970 N Kalaheo Ave Ste C306
Kailua, HI 96734-1873
Phone (808) 263-7383

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
I20180717002366 HI Practitioner - Family Practice 3779673371 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOS-1885HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Wound Care Group LLC CurrentSince Oct 1, 2018 Accepting new patients
North Hawaii Community Hospital CurrentSince Sep 1, 2019 Accepting new patients
Queens North Hawaii Community Hospital Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Trade Winds Family Medicine, LLC Family Medicine CurrentSince May 26, 2018 Accepting new patients

Locations

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

970 N Kalaheo Ave
Ste C306
Kailua, HI 96734
Phone (808) 263-7383

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGDDBA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1891825014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE C306",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341873",
            "telephone_number": "808-263-7383",
            "fax_number": "808-237-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE C306",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341873",
            "telephone_number": "808-263-7383",
            "fax_number": "808-237-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LE",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-1885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.