Individual provider Active NPI

Mari Shiraishi, M.D.

  • Rheumatology Physician
  • Honolulu, HI
National Provider Identifier
1497971477
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
16461 Issued in HI
Practice address
1380 Lusitana St Ste 414
Honolulu, HI 96813-2440
Phone
(808) 586-7481
Fax
(808) 586-7760
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 16461 HI Primary

Addresses

Primary practice location

1380 Lusitana St Ste 414
Honolulu, HI 96813-2440

Mailing address

1356 Lusitana St FL 7
Honolulu, HI 96813-2409
Phone (808) 586-7762

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EHR

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
I20121030000502 HI Practitioner - RheumatologyPractitioner - Internal Medicine 3274688007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Georgetown University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1380 Lusitana St
Suite 409
Honolulu, HI 96813-2440
Phone (808) 367-1955

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16461HIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mari a. Shiraishi, M.D., Inc. CurrentSince Feb 1, 2022 Accepting new patients

Locations

1380 Lusitana St
Ste 414
Honolulu, HI 96813
Phone (808) 536-0707

1380 Lusitana St
Ste 409
Honolulu, HI 96813
Phone (808) 367-1955

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

Organizations & group practices 1

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 4

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1497971477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 LUSITANA ST FL 7",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132409",
            "telephone_number": "808-586-7762",
            "fax_number": "808-586-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 414",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132440",
            "telephone_number": "808-586-7481",
            "fax_number": "808-586-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAISHI",
        "first_name": "MARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "HI",
            "license": "16461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "address_1": "1380 Lusitana St Ste 414",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968132440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.