Kelly Shigeyo Shibuya, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD-22670 Issued in HI

Practice address

1380 Lusitana St Ste 604
Honolulu, HI 96813-2442

Phone

(808) 523-2020

NPI assigned

May 23, 2019

Sex

Female

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

Allergy/Immunology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Abigail S Harada M D L L CGroup PAC ID 4183709454, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Abigail S Harada M D L L C

  • Allergy & Immunology Physician
  • Honolulu, HI
  • NPI 1164608493
  Medicare reassignment Care Compare group NPD

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

• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1205493376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 NEHOA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 604",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132442",
            "telephone_number": "808-523-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBUYA",
        "first_name": "KELLY",
        "middle_name": "SHIGEYO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "HI",
            "license": "MD-22670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley T Shibata, MSW
• Toshiyuki Shibata, MD
• Vernon I Shibata, O.D
• Alison M Shibuya, MD
• Jineane Shibuya
• Neil Y. Shibuya, M.D.
• Randall K Shibuya, DC
• Beverly Shieh, PSY.D.
• Richard Edward Shields, PHARM.D.
• Ryan Yoshimura Shields, M.D.

• Allergy & Immunology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Allergy & Immunology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.