Terry K Shimamoto, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

11425 Issued in HI

Practice address

321 N Kuakini St
Ste 605
Honolulu, HI 96817-2364

Phone

(808) 523-5886

Fax

(808) 538-6595

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Neurology

Education

University of Hawaii John a. Burns School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurology Associates IncGroup PAC ID 6507755170, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007
• Adventist Health Castle Hospital, Kailua, HI, CCN 120006
• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

Merit-based Incentive Payment System (MIPS)

Final score

92.05 of 100Reported as individual

Quality

86.64

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: terry.shimamoto@hawaiihie.medicity.net

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.

• Neurology Associates Inc.

  • Neurology Physician
  • Honolulu, HI
  • NPI 1942208764
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Castle Medical Center

  • General Acute Care Hospital
  • Kailua, HI
  • NPI 1316937691
  Care Compare affiliation
• Kuakini Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1215939335
  Care Compare affiliation
• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1174521900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "STE 810",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-523-5885",
            "fax_number": "808-538-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "STE 605",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-523-5886",
            "fax_number": "808-538-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMAMOTO",
        "first_name": "TERRY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "HI",
            "license": "11425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA-BCBS",
            "identifier": "22749-6",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49916201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Katsumi Shimabukuro, P.T.
• Scott Ken Shimabukuro, PH.D.
• Brandi Shimada
• Jo Shimada, LCSW
• Royce Shimamoto, M.D.
• Mitchel Toshikazu Shimamura, DC
• Erik Shimane, D.C.
• Maia Shimatsu
• Sheri Michiko Shimizu-Saito, M.D.
• Annette A. Shimizu, PH.D.

• Neurology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Neurology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.