Individual provider Active NPI

Cecilia Shikuma, M.D.

  • Pediatric Infectious Diseases Physician
  • Honolulu, HI
National Provider Identifier
1235179904
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
MD-4769 Issued in HI
Practice address
3675 Kilauea Avenue, 5TH Floor
Honolulu, HI 96816
Phone
(808) 737-2751
Fax
(808) 735-7047
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD4769 HI
Pediatric Infectious Diseases Physician 2080P0208X MD-4769 HI Primary

Addresses

Primary practice location

3675 Kilauea Avenue, 5TH Floor
Honolulu, HI 96816

Mailing address

677 Ala Moana Blvd, Suite 1025
Honolulu, HI 96813-5419
Phone (808) 535-5975

Other identifiers 1

IdentifierTypeStateIssuer
023044-02MedicaidHI

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
I20040719001489 HI Practitioner - Infectious DiseasePractitioner - Internal Medicine 0446239719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Queens Medical CenterGroup PAC ID 3476454067, 191 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2499

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD4769HIMDSpecialist
MD-4769HIMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Feb 17, 2024 Accepting new patients
Queens University Medical Group CurrentSince Feb 17, 2024 Accepting new patients
The Queen's Medical Center Current Accepting new patients
The Queen's Medical Center CurrentSince Feb 17, 2024 Accepting new patients
The Queens Medical Center - Progressive Care Unit Past Accepting new patients
Mihae Yu M.D. Inc. Past Accepting new patients
Maui a.I.D.S. Foundation PastSince Jul 1, 2017 Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17842/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1235179904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD, SUITE 1025",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135419",
            "telephone_number": "808-535-5975",
            "fax_number": "808-535-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 KILAUEA AVENUE, 5TH FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-737-2751",
            "fax_number": "808-735-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKUMA",
        "first_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD4769",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "HI",
            "license": "MD-4769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023044-02",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.