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JEFFREY JK LEE MD INC
NPI 1083916837
Specialist in Honolulu, HI

Active since November 30, 2010
1380 LUSITANA ST, SUITE 407, HONOLULU, HI 96813(808) 523-8833(808) 528-1751 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2024, Nov 2, 2018 (2 updates tracked since 2018).

About Jeffrey Jk Lee Md Inc NPPES

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

JEFFREY JK LEE MD INC (NPI 1083916837) is a healthcare organization registered as a specialist in Honolulu, Hawaii and active in the NPI registry since November 2010. The organization lists Jeffrey Jk Lee, President, as its authorized official.

NPPES Registry Identity

NPI1083916837
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJEFFREY JK LEE MD INC
Location Address1380 LUSITANA ST, SUITE 407Honolulu, HI 96813-2449
Mailing Address1380 Lusitana St, Suite 407Honolulu, HI 96813-2449 · (808) 523-8833 · Fax (808) 528-1751
Phone(808) 523-8833
Fax(808) 528-1751
Organization SubpartNo
Authorized OfficialJeffrey Jk LeePresident · (808) 523-8833
Enumeration DateNovember 30, 2010
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1083916837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in HI · 7140
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1380 LUSITANA ST, Honolulu, HI 96813
Open in Google Maps ↗

Other Identifiers 1

Medicaid05957501HI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Jk Lee Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateHawaiiEnrollment IDO20120516000225Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeffrey Jk Lee MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Lee, M.D.
Orthopedic Surgery
NPI 1629056528
1380 LUSITANA ST., SUITE 407
Honolulu, HI 96813
(808) 523-8833
✔ PECOS✔ Accepts MedicareSame address

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

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 Jeffrey Jk Lee MD Inc's NPI number?

The NPI number for Jeffrey Jk Lee MD Inc is 1083916837. It was assigned to this organization in the NPPES registry on November 30, 2010.

Where is Jeffrey Jk Lee MD Inc located?

Jeffrey Jk Lee MD Inc is located at 1380 Lusitana St Suite 407, Honolulu, HI 96813. The listed phone number is (808) 523-8833.

What is Jeffrey Jk Lee MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jeffrey Jk Lee MD Inc enrolled in Medicare?

Yes. Jeffrey Jk Lee MD Inc is registered in the Medicare PECOS enrollment system.

When is Jeffrey Jk Lee MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jeffrey Jk Lee MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Jeffrey Jk Lee MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Jk Lee MD Inc was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.