Individual provider Active NPI

Lisa Ann Shigemura, M.D.

  • Pediatrics Physician
  • Kaneohe, HI
National Provider Identifier
1033280615
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-6548 Issued in HI
Practice address
46-056 Kamehameha Hwy
Suite 221
Kaneohe, HI 96744-3755
Phone
(808) 233-6200
Fax
(808) 233-6255
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-6548 HI Primary

Addresses

Primary practice location

46-056 Kamehameha Hwy
Suite 221
Kaneohe, HI 96744-3755

Mailing address

46-056 Kamehameha Hwy
Suite 221
Kaneohe, HI 96744-3755
Phone (808) 233-6200

Other identifiers 3

IdentifierTypeStateIssuer
059905MedicaidHI
0000079558OtherHIHMSA
1500444OtherHIUHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000581 HI Practitioner - Pediatric Medicine 5193868511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Dec 6, 2009 Accepting new patients
Straub Clinic & Hospital CurrentSince Dec 6, 2009 Accepting new patients

Locations

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

46-056 Kamehameha Hwy
Ste 221
Kaneohe, HI 96744
Phone (808) 233-6200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1033280615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-056 KAMEHAMEHA HWY",
            "address_2": "SUITE 221",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443755",
            "telephone_number": "808-233-6200",
            "fax_number": "808-233-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-056 KAMEHAMEHA HWY",
            "address_2": "SUITE 221",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443755",
            "telephone_number": "808-233-6200",
            "fax_number": "808-233-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIGEMURA",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD-6548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059905",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000079558",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "1500444",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.