Individual provider Active NPI

Terry Shintani, MD, MPH

  • Public Health & General Preventive Medicine Physician
  • Honolulu, HI
National Provider Identifier
1245362235
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
5624 Issued in HI
Practice address
2525 S King St
Suite 309
Honolulu, HI 96826-3101
Phone
(808) 521-3097
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 5624 HI Primary

Addresses

Primary practice location

2525 S King St
Suite 309
Honolulu, HI 96826-3101

Mailing address

222 Vineyard St Ste 601
Honolulu, HI 96813-2455
Phone (808) 521-3097

Other identifiers 3

IdentifierTypeStateIssuer
9290719OtherHIUNIVERSITY HEALTH ALLIANC
MD5624-01OtherHIQUEENS HEALTH PLAN
A2698-7OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MP
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
I20071227000596 MP Practitioner - Internal Medicine 6901986231 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Queen St
C2
Honolulu, HI 96813-5113
Phone (808) 566-6922

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5624HIMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1245362235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 VINEYARD ST STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132455",
            "telephone_number": "808-521-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S KING ST",
            "address_2": "SUITE 309",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263101",
            "telephone_number": "808-521-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINTANI",
        "first_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "HI",
            "license": "5624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH ALLIANC",
            "identifier": "9290719",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEENS HEALTH PLAN",
            "identifier": "MD5624-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "A2698-7",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.