JACOB C LEE MD - NPI 1790282259 - Psychiatry & Neurology in Honolulu, HI

Q: What is Jacob Lee's NPI number?

The NPI number for Jacob Lee is 1790282259. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Q: What is Jacob Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Lee was last updated on July 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jacob C Lee Md NPPES

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

JACOB C LEE MD (NPI 1790282259) is an individual child & adolescent psychiatry provider in Honolulu, Hawaii, licensed in Hawaii (227280) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2021).

NPPES Registry Identity

NPI1790282259

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameJACOB C LEECredential: MD

Location Address1164 BISHOP ST STE 1611Honolulu, HI 96813-2816

Mailing Address801 South St Apt 3313Honolulu, HI 96813-5937 · (636) 368-5044

Phone(808) 261-7792

Sole ProprietorYes

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2021

Enumeration DateApril 11, 2018

Last NPPES UpdateJuly 9, 20232 updates tracked since enumeration

NPPES CertifiedJuly 9, 2023

✔ NPI 1790282259 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 · 227280

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1164 BISHOP ST STE 1611, Honolulu, HI 96813

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Secondary Practice Locations 2

Location 11000 E 24th StKansas City, MO 64108-2776 · Phone (816) 512-7439

Location 2300 W 19th TerKansas City, MO 64108-2026 · Phone (816) 512-7439

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob C Lee Md 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 ID9032460464

PECOS Enrollment IDI20240106000711

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.

Other Providers at the Same Location NPPES 5

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

DR. LEILANI KATHLEEN AHINA-DAWSON PSYD

Psychologist (Clinical)