Gregg Atsushi Shimomura, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD6215 Issued in HI

Practice address

99 128 Aiea Heights Drive
Suite 504
Aiea, HI 96701-3938

Phone

(808) 487-2497

Fax

(808) 487-2494

NPI assigned

Apr 2, 2007

Sex

Male

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 2

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

Obstetrics/Gynecology

Education

University of Hawaii John a. Burns School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
• Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300
• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
• Adventist Health Castle Hospital, Kailua, HI, CCN 120006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregg.shimomura@25099984175108.direct.elationemr.com

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.

• Integrated Health Hawaii, LLC

  • Case Management Agency
  • Honolulu, HI
  • NPI 1124669031
  NPD Authorized official
• Integrated Health Hawaii, LLC

  • Clinical Social Worker
  • Honolulu, HI
  • NPI 1699484089
  NPD Authorized official
• Malama Kidney Center, LLC

  • Community Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1699329839
  NPD Authorized official
• George Shimomura MD Inc

  • Gynecology Physician
  • Aiea, HI
  • NPI 1073733176
  NPD (past)

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

• Castle Medical Center

  • General Acute Care Hospital
  • Kailua, HI
  • NPI 1316937691
  Care Compare affiliation
• Kapiolani Medical Center for Women & Children

  • Children's Hospital
  • Honolulu, HI
  • NPI 1043263080
  Care Compare affiliation
• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538280367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 128 AIEA HEIGHTS DRIVE",
            "address_2": "SUITE 504",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013938",
            "telephone_number": "808-487-2497",
            "fax_number": "808-487-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 128 AIEA HEIGHTS DRIVE",
            "address_2": "SUITE 504",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013938",
            "telephone_number": "808-487-2497",
            "fax_number": "808-487-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMOMURA",
        "first_name": "GREGG",
        "middle_name": "ATSUSHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD6215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05906901",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICE AS",
            "identifier": "078493",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry J Miyasato PSYD Inc
• Carrie Shibata
• Sydney Shibuya
• Karley-Ann Shigeoka
• George Shimomura, MD
• Mandi Shinsato
• Jodi Shiraishi
• Dean Jason Shivvers, DC
• Rachel R Sholars
• Shriners Hospitals for Children

• Obstetrics & Gynecology Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Obstetrics & Gynecology Physician in Hawaii

• 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.
• 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.