Shelley Ham, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD8985 Issued in HI

Practice address

169 Puueo St
Hilo, HI 96720-2432

Phone

(808) 934-7355

Fax

(808) 935-3209

NPI assigned

Oct 24, 2006

Last updated

Dec 12, 2023By the provider in NPPES

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

Other identifiers 1

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

Psychiatry

Education

Saint Louis University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Five Mountains Hawaii, IncGroup PAC ID 4880817840, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/17479dfb-b021-49d0-9c8a-9247a410a2a3/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Five Mountains Hawaii, Inc

  dba Kipuka o ke Ola

  • Rural Health Clinic/Center
  • Kamuela, HI
  • NPI 1215359989
  Medicare reassignment Care Compare group NPD
• Phoenix Center Inc

  • Psychiatry Physician
  • Hilo, HI
  • NPI 1699849422
  Medicare reassignment Authorized official
• Phoenix Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hilo, HI
  • NPI 1710986351
  NPD Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1285718411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10840",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967215840",
            "telephone_number": "808-934-7355",
            "fax_number": "808-935-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 PUUEO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202432",
            "telephone_number": "808-934-7355",
            "fax_number": "808-935-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "SHELLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD8985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002275-02",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Halemano
• Ananda Hall
• Iwalani Hall
• Julia Noelle Hall, MA
• Kurt Halverson, D.C.
• Allison Hamada
• Lena Hamakawa
• Russell Hamilton
• Elvin Ray Hamlin, D.O.
• Sylvia Hammer

• Psychiatry Physician in Hilo, HI
• Providers in Hilo, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.