Individual provider Active NPI

Shauna Paylor, M.D.

  • Family Medicine Physician
  • Keaau, HI
National Provider Identifier
1386737138
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 17410 Issued in HI
Practice address
16-523 Keaau Pahoa Rd
Keaau, HI 96749-8156
Phone
(808) 932-3878
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2005-0763 NM
Family Medicine Physician 207Q00000X MD 17410 HI Primary

Addresses

Primary practice location

16-523 Keaau Pahoa Rd
Keaau, HI 96749-8156

Mailing address

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3830

Other practice location 1

1178 Kinoole St
Hilo, HI 96720-7206
Phone (808) 969-1427

Other identifiers 1

IdentifierTypeStateIssuer
10333061MedicaidNM

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
I20160215001180 HI Practitioner - Family Practice 2668493255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Practice addresses (Care Compare)

16 -523 Keaau Pahoa Rd
Keaau, HI 96749-8156
Phone (808) 932-3830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 17410HIMDFamily Medicine Physician
MD2005-0763NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Hawaii Community Health Center, Inc. CurrentSince Jan 12, 2016 Accepting new patients
West Hawaii Community Health Center, Inc. Family Medicine CurrentSince Jan 12, 2016 Accepting new patients
Kau Hospital CurrentSince Mar 1, 2021 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 1, 2021 Accepting new patients
West Hawaii Community Health Center, Inc. Family Medicine Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 1, 2021 Accepting new patients
West Hawaii Community Health Center, Inc. Current Accepting new patients
Kau Hospital CurrentSince Mar 1, 2021 Accepting new patients
Kau Hospital Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1178 Kinoole St
Hilo, HI 96720
Phone (808) 961-4082

450 Kilauea Ave
Ste 105
Hilo, HI 96720
Phone (808) 961-4071

16-523 Keaau Pahoa Rd
Keaau, HI 96749
Phone (808) 932-3801

16-192 Pili Mua St
Keaau, HI 96749
Phone (808) 930-0040

15-2866 Pahoa Village Rd
Bldg C
Pahoa, HI 96778
Phone (808) 965-9711

Interoperability endpoints

  • Direct secure messaging: spaylor21146@hhsc.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
East Hawaii Health Clinic at Kea'AuKeaau, HI, CCN 123991 Rural health clinic W-2 Managing Employee Feb 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1386737138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202089",
            "telephone_number": "808-932-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-523 KEAAU PAHOA RD",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498156",
            "telephone_number": "808-932-3878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1178 Kinoole St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967207206",
            "country_code": "US",
            "telephone_number": "808-969-1427",
            "fax_number": "808-961-4795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYLOR",
        "first_name": "SHAUNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2005-0763",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD 17410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10333061",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keaau, HI

Sources for this page

Verify at the official NPI Registry.