Erik Masayuki Shipley, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD-21100 Issued in HI

Practice address

4211 Waialae Ave Ste 208
Honolulu, HI 96816-5312

Phone

(808) 888-5228

NPI assigned

May 3, 2016

Last updated

Jun 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Psychiatry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jason R Keifer MD PC LLCGroup PAC ID 5193864270, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erik.shipley.1@32039.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jason R. Keifer, M.D., P.C., LLC

  dba Brain Health Hawaii

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1558509794
  Care Compare group NPD
• Kahala Clinic Intensive Treatment Program

  • Adolescent and Children Mental Health Clinic/Center
  • Honolulu, HI
  • NPI 1306361241
  NPD

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1689029027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165312",
            "telephone_number": "808-888-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165312",
            "telephone_number": "808-888-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "ERIK",
        "middle_name": "MASAYUKI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "AM3582269-653",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-21100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Shinoyama
• Rika Shinsato
• Stephanie Shinsato, OTR/L
• Kelli Shintani
• Terry Shintani, MD, MPH
• Brandon K Shirai, M.D.
• Chyong-Ying Whang Shirai, DDS
• Katelyn Emiko Shirai
• Lance K. Shirai, MD
• Alvin Shiraishi, LMT

• Psychiatry Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.