Organization Active NPI

Mari a. Shiraishi, M.D., Inc.

  • Medical Specialty Clinic/Center
  • Honolulu, HI
National Provider Identifier
1023780509
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MARI A. SHIRAISHI, M.D., INC.
Practice address
1380 Lusitana St Ste 409
Honolulu, HI 96813-2440
Phone
(808) 367-1955
Fax
(808) 367-0106
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Authorized official

Name
Dr. Mari Akemi Shiraishi, MDNPI 1497971477
Title
Owner
Phone
(808) 367-1955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1380 Lusitana St Ste 409
Honolulu, HI 96813-2440

Mailing address

1380 Lusitana St Ste 409
Honolulu, HI 96813-2440
Phone (808) 367-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220131000115 HI Part B Supplier - Clinic/Group Practice 2961895768 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1380 Lusitana St
Ste 414
Honolulu, HI 96813
Phone (808) 536-0707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746230400000",
    "number": "1023780509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 409",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132440",
            "telephone_number": "808-367-1955",
            "fax_number": "808-367-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 409",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132440",
            "telephone_number": "808-367-1955",
            "fax_number": "808-367-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARI A. SHIRAISHI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A",
        "authorized_official_last_name": "SHIRAISHI",
        "authorized_official_first_name": "MARI",
        "authorized_official_middle_name": "AKEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-367-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.