Active NPI
Shauna Paylor, M.D.
- Family Medicine Physician
- Keaau, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD 17410
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10333061 | Medicaid | NM |
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
Enrollment records 1
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
Practice addresses (Care Compare)
16 -523 Keaau Pahoa Rd
Keaau, HI 96749-8156
Phone (808) 932-3830
Hospital & facility affiliations
- Dba Hawai'I Care Choices
- Kau Hospital
- Hilo Benioff Medical Center
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 17410 | HI | MD | Family Medicine Physician |
| MD2005-0763 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Hawaii Community Health Center, Inc. | Current | Accepting new patients | |
| West Hawaii Community Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Kau Hospital | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| West Hawaii Community Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| West Hawaii Community Health Center, Inc. | Current | Accepting new patients | |
| Kau Hospital | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| East Hawaii Health Clinic at Kea'Au | 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.
-
- Rural Health Clinic/Center
- Pahala, HI
- NPI 1144304338
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Federally Qualified Health Center (FQHC)
- Pahoa, HI
- NPI 1689814022
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Rural Health Clinic/Center
- Pahoa, HI
- NPI 1285450163
-
- Federally Qualified Health Center (FQHC)
- Keaau, HI
- NPI 1104874619
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Hilo, HI
- NPI 1225086887
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Hilo, HI
- NPI 1487256491
-
- Rural Health Clinic/Center
- Pahoa, HI
- NPI 1174777916
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Community Based Hospice Care Agency
- Hilo, HI
- NPI 1326048406
-
- Critical Access Hospital
- Pahala, HI
- NPI 1558441311
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.