Active NPI
Neal T Shimoda, MD
- Gastroenterology Physician
- Honolulu, HI
National Provider Identifier
1326024852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 8663
- Practice address
- 321 N Kuakini St
Suite 503
Honolulu, HI 96817-2364 - Phone
- (808) 521-9584
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 8663 | HI | Primary |
Addresses
Primary practice location
321 N Kuakini St
Suite 503
Honolulu, HI 96817-2364
Mailing address
321 N Kuakini St
Suite 503
Honolulu, HI 96817-2390
Phone (808) 521-9584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03563901 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8663 | HI | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326024852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N KUAKINI ST",
"address_2": "SUITE 503",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172390",
"telephone_number": "808-521-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N KUAKINI ST",
"address_2": "SUITE 503",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172364",
"telephone_number": "808-521-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMODA",
"first_name": "NEAL",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "HI",
"license": "8663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03563901",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.