NPIMap

Individual provider Active NPI

Chintav Hiteshkumar Shah

  • Nephrology Physician
  • Honolulu, HI
National Provider Identifier
1619474608
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-23166-0 Issued in HI
Practice address
1520 Liliha St Ste 601
Honolulu, HI 96817-3564
Phone
(808) 523-0455
Fax
(808) 356-3380
NPI assigned
Apr 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036.156022 IL
Nephrology Physician 207RN0300X MD-23166-0 HI Primary

Addresses

Primary practice location

1520 Liliha St Ste 601
Honolulu, HI 96817-3564

Mailing address

1520 Liliha St Ste 601
Honolulu, HI 96817-3564
Phone (808) 523-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705001954 HI Practitioner - Nephrology 8820491624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hawaii Kidney Specialists LLPGroup PAC ID 5698759066, 29 clinicians

Practice addresses (Care Compare)

1520 Liliha St
Suite 601
Honolulu, HI 96817-3564
Phone (808) 523-0445

Hospital & facility affiliations

  • US Renal Care Waipahu Dialysis Dialysis facility, Waipahu, HI, CCN 122525
  • USRC Wahiawa Dialysis Center Dialysis facility, Wahiawa, HI, CCN 122500
  • Usrc Ewa Beach Dialysis Dialysis facility, Ewa Beach, HI, CCN 122535
  • Liberty Dialysis Hawaii - Leeward Dialysis Facility Dialysis facility, Ewa Beach, HI, CCN 122512
  • Liberty Dialysis Hawaii - Waipahu Dialysis Dialysis facility, Waipahu, HI, CCN 122522
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007

Merit-based Incentive Payment System (MIPS)

Final score
87.6 of 100Reported as group
Quality
60.09
Promoting interoperability
99
Improvement activities
40
Cost
82.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-23166-0HIMDNephrology Physician
036.156022ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Kidney Specialists, LLP Nephrology CurrentSince Jul 1, 2023 Accepting new patients
Rocky Mountain Kidney Care LLC Nephrology CurrentSince Sep 15, 2024 Accepting new patients

Locations

98-211 Pali Momi St
Ste 320
Aiea, HI 96701
Phone (808) 486-9898

275 Ponahawai St
Ste 202
Hilo, HI 96720
Phone (808) 961-3031

1520 Liliha St
Ste 601
Honolulu, HI 96817
Phone (808) 536-9964

94-673 Kupuohi St
Ste C207
Waipahu, HI 96797

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19427/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: cshah52976@direct.acumenmd.com

Organizations & group practices 2

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 9

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1619474608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173564",
            "telephone_number": "808-523-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173564",
            "telephone_number": "808-523-0455",
            "fax_number": "808-356-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "CHINTAV",
        "middle_name": "HITESHKUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036.156022",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD-23166-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.