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DR. KISUN LEE D.O.
NPI 1033328695
Psychiatry & Neurology - Child & Adolescent Psychiatry in Honolulu, HI

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
1441 KAPIOLANI BLVD FL 16, HONOLULU, HI 96814(808) 432-7600 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2023, May 12, 2021 (2 updates tracked since 2021).

About Dr. Kisun Lee D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KISUN LEE D.O. (NPI 1033328695) is an individual child & adolescent psychiatry provider in Honolulu, Hawaii, licensed in Hawaii (DOS 1107) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1033328695
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KISUN LEECredential: D.O.
Location Address1441 KAPIOLANI BLVD FL 16Honolulu, HI 96814-4402
Mailing Address1441 Kapiolani Blvd Fl 16Honolulu, HI 96814-4402 · (808) 432-7600
Phone(808) 432-7600
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1033328695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in HI · DOS 1107
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License C2-0008664 (DE)
1441 KAPIOLANI BLVD FL 16, Honolulu, HI 96814
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kisun Lee D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163553017
PECOS Enrollment IDI20160606001112
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kisun Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Hawaii Department Of Health
1.3 mi
Community/Behavioral Health
1250 PUNCHBOWL ST, RM 256
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 25 clinicians in this Medicare group
NPI 1528241155 (808) 590-7320
Hawaii Permanente Medical Group Inc
6.1 mi
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group
NPI 1710945969 (808) 432-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNATHAN WU MD
Psychiatry & Neurology (Psychiatry)
1441 KAPIOLANI BLVD FL 16
HONOLULU, HI 96814
Honolulu County (808) 432-7600
DR. GINA R. KELLNER M.D.
Psychiatry & Neurology (Psychiatry)
1441 KAPIOLANI BLVD FL 16
HONOLULU, HI 96814
Honolulu County (808) 432-7600
DR. MICHAEL V. MCCANLESS MD
Psychiatry & Neurology (Psychiatry)
1441 KAPIOLANI BLVD FL 16
HONOLULU, HI 96814
Honolulu County (808) 432-7600
NANCY M. SIDUN PSYD
Psychologist (Clinical)
1441 KAPIOLANI BLVD FL 16
HONOLULU, HI 96814
Honolulu County (808) 432-7600
MARILYN A CHONG LCSW
Social Worker (Clinical)
1441 KAPIOLANI BLVD FL 16
HONOLULU, HI 96814
Honolulu County (808) 432-7600
DIANE S. LEE LCSW
Social Worker (Clinical)
1441 KAPIOLANI BLVD FL 16
HONOLULU, HI 96814
Honolulu County (808) 432-7600
DR. TINA R. MELENDREZ-CHU M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1441 KAPIOLANI BLVD FL 16
HONOLULU, HI 96814
Honolulu County (808) 432-7600
GREGORY J. BROWNE LCSW
Social Worker (Clinical)
1441 KAPIOLANI BLVD FL 16
HONOLULU, HI 96814
Honolulu County (808) 432-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kisun Lee's NPI number?

The NPI number for Kisun Lee is 1033328695. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Kisun Lee located?

Kisun Lee practices at 1441 Kapiolani Blvd Fl 16, Honolulu, HI 96814. The listed phone number is (808) 432-7600.

What is Kisun Lee's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kisun Lee enrolled in Medicare?

Yes. Kisun Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kisun Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kisun Lee reassigns Medicare benefits to 2 organizations: State Of Hawaii Department Of Health (Honolulu, HI) and Hawaii Permanente Medical Group Inc (Honolulu, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kisun Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kisun Lee accept?

Health plans from Kaiser Permanente list Kisun Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kisun Lee was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.