Barry S Shitamoto, MD

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

221 Mahalani St
Wailuku, HI 96793-2526

Phone

(808) 242-2065

Fax

(808) 244-7246

NPI assigned

Nov 1, 2006

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

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

Pathology

Education

University of Hawaii John a. Burns School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pan Pacific Pathologists LLCGroup PAC ID 0941190474, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002
• Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Maui Health System a Kaiser Foundation Hospitals LLC

  • Nursing Facility/Intermediate Care Facility
  • Kula, HI
  • NPI 1184079956

  Corporate Officer

  CMS ownership
• Maui Health System a Kaiser Foundation Hospitals LLC

  • Nursing Facility/Intermediate Care Facility
  • Lana'I, HI
  • NPI 1841645959

  Corporate Officer

  CMS ownership

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.

• Pan Pacific Pathologists, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Ewa Beach, HI
  • NPI 1962479360
  Medicare reassignment Care Compare group NPD
• Clinical Laboratories of Hawaii LLP

  • Clinical Medical Laboratory
  • Ewa Beach, HI
  • NPI 1134195357
  NPD (past)
• Kula Hospital

  • Nursing Facility/Intermediate Care Facility
  • Kula, HI
  • NPI 1295813350
  NPD (past)

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

• Maui Health System a Kaiser Foundation Hospitals LLC

  • General Acute Care Hospital
  • Wailuku, HI
  • NPI 1013379460
  Care Compare affiliation
• Wilcox Memorial Hospital

  • Rural Acute Care Hospital
  • Lihue, HI
  • NPI 1225113442
  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184701401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526",
            "telephone_number": "808-242-2065",
            "fax_number": "808-244-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526",
            "telephone_number": "808-242-2065",
            "fax_number": "808-244-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHITAMOTO",
        "first_name": "BARRY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Shinsato, LCSW
• Brooke M Shiotani, PHARM D
• Glenn M Shiotani, M.D.
• Brady J Shirota, D.D.S.
• Jon Shirota, PT
• Shon Emergency Medicine Services
• Julie Shoup, LMSW
• Benjamin T. Shurtleff, MD
• Lorene K Siaw, MD
• Chimene Marie Sienkiewicz, PHARM D

• Specialist in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.