Individual provider Active NPI

Carolyn Lei-Tina Kor, MD

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1972952471
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2022-03315 Issued in NC
Practice address
449 Kapahulu Ave
Ste 104
Honolulu, HI 96815-3850
Phone
(814) 452-5105
NPI assigned
Jun 7, 2016
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD70077112 WA
Family Medicine Physician 207Q00000X MD-21662 HI
Family Medicine Physician 207Q00000X ME180112 FL
Family Medicine Physician 207Q00000X MT211813 PA
Family Medicine Physician 207Q00000X 2022-03315 NC Primary
Hospitalist Physician 208M00000X 036179819 IL

Addresses

Primary practice location

449 Kapahulu Ave
Ste 104
Honolulu, HI 96815-3850

Mailing address

PO Box 100237
Gainesville, FL 32610-0237
Phone (352) 392-4541

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 392-4541

Other practice location 2

600 E Main St
Elma, WA 98541-9560
Phone (360) 346-2222

Other practice location 3

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000 ext. 56949

Other practice location 4

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, HI, WI, OR, IN, VA, DC, IA, NC, WA, FL, IL13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20190916000262 NY Practitioner - HospitalistPractitioner - Family Practice 7113215047 Reassigns benefits to 1 organization
I20200316001610 PA Practitioner - Family Practice 7113215047 Reassigns benefits to 1 organization
I20210310001318 HI Practitioner - Hospitalist 7113215047 Reassigns benefits to 3 organizations
I20210428002169 WI Practitioner - HospitalistPractitioner - Internal Medicine 7113215047 Reassigns benefits to 1 organization
I20220303001520 OR Practitioner - Family PracticePractitioner - Hospitalist 7113215047 Reassigns benefits to 2 organizations
I20221025001438 IN Practitioner - HospitalistPractitioner - Family Practice 7113215047 Reassigns benefits to 1 organization
I20221102002757 VA Practitioner - HospitalistPractitioner - Family Practice 7113215047 Reassigns benefits to 1 organization
I20221220000087 DC Practitioner - Family Practice 7113215047 Reassigns benefits to 1 organization
I20230623000991 IA Practitioner - Family Practice 7113215047 Reassigns benefits to 1 organization
I20231030003903 NC Practitioner - Family Practice 7113215047 Reassigns benefits to 3 organizations
I20260326002794 WA Practitioner - Family Practice 7113215047 Reassigns benefits to 4 organizations
I20260327003317 FL Practitioner - Family Practice 7113215047 Reassigns benefits to 1 organization
I20260617003436 IL Practitioner - Hospitalist 7113215047

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians
Asante Physician PartnersGroup PAC ID 8325206246, 227 clinicians

Practice addresses (Care Compare)

1215 Hunakai St
Honolulu, HI 96816-4661
Phone (808) 735-0007

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

232 W 25TH St
Erie, PA 16544-0002
Phone (814) 452-5000

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7000

625 SW Ramsey Ave
Suite a
Grants Pass, OR 97527-5808
Phone (541) 507-2290

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-03315NCMDFamily Medicine Physician
MT211813PAMDFamily Medicine Physician
036179819ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Hospitalist CurrentSince Jan 23, 2026 Accepting new patients
Apogee Medical Group North Carolina Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
Apogee Medical Group Indiana PC CurrentSince Oct 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC CurrentSince Dec 1, 2022 Accepting new patients
Apogee Medical Group PC Current Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Mar 1, 2020 Accepting new patients
Apogee Medical Group, Wisconsin, S.C CurrentSince Feb 1, 2021 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Mar 1, 2020 Accepting new patients
Apogee Medical Group Iowa PC Hospitalist CurrentSince Jun 1, 2023 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince May 19, 2025 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Family Medicine CurrentSince Dec 1, 2022 Accepting new patients
Apogee Medical Group PC CurrentSince Feb 9, 2022 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Aug 26, 2019 Accepting new patients
Apogee Medical Group Virginia, PC CurrentSince Sep 13, 2022 Accepting new patients
Queens University Medical Group CurrentSince Mar 22, 2023 Accepting new patients
Apogee Medical Group PC CurrentSince Feb 9, 2022 Accepting new patients
Asante Physician Partners Family Medicine CurrentSince Dec 18, 2023 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 23, 2026 Accepting new patients
Apogee Medical Group, Michigan, PC PastSince Oct 8, 2023 Accepting new patients

Locations (25 of 41)

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

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

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

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

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

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

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

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1148

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

515 Main St
Olean, NY 14760
Phone (716) 373-2600

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Interoperability endpoints

  • Direct secure messaging: ckor1642501@direct.trinity-health.org

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1972952471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100237",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100237",
            "telephone_number": "352-392-4541",
            "fax_number": "352-294-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 KAPAHULU AVE",
            "address_2": "STE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153850",
            "telephone_number": "814-452-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-392-4541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Main St",
            "address_purpose": "LOCATION",
            "city": "Elma",
            "state": "WA",
            "postal_code": "985419560",
            "country_code": "US",
            "telephone_number": "360-346-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-904-8000 x56949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265360",
            "country_code": "US",
            "telephone_number": "618-257-6220",
            "fax_number": "618-257-6679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOR",
        "first_name": "CAROLYN",
        "middle_name": "LEI-TINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD70077112",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-21662",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME180112",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT211813",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-03315",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036179819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 Memorial Dr",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.