Pantea Shoja, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17011 Issued in HI

Practice address

1860 Ala Moana Blvd
#101
Honolulu, HI 96815-1632

Phone

(808) 921-2273

Fax

(808) 921-2274

NPI assigned

Aug 27, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• HI PPO
• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

• Direct secure messaging: pantea.shoja.1@19957.direct.athenahealth.com

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.

• Hawaii Vip Labs LLC

  • Clinical Medical Laboratory
  • Honolulu, HI
  • NPI 1124671391
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1013164409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 KUALA ST",
            "address_2": "SUITE 103",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823900",
            "telephone_number": "808-456-2273",
            "fax_number": "808-456-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 ALA MOANA BLVD",
            "address_2": "#101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151632",
            "telephone_number": "808-921-2273",
            "fax_number": "808-921-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOJA",
        "first_name": "PANTEA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R70149",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "17011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "R70149",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jed P.K. Shitabata, D.M.D.
• Shiu Chiropractic Kinesiology Inc.
• Gregory S Shiu, D.C.
• Shiuh-Feng Cheng M D Inc
• Ralph V Shohet, M.D.
• Devin Kiyoshi Shoji, DPT
• Kelly Mung Yue Shoji
• Kyle Shoji
• Peter J. Shoji, O.D.
• Pamela Anne Short, MSN-ED, RN, CIC

• Family Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.