Individual provider Active NPI

Shannon Mei Yen Sheu, MD

  • Dermatology Physician
  • Honolulu, HI
National Provider Identifier
1700821667
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD 15383 Issued in HI
Practice address
405 N Kuakini St
Suite 703
Honolulu, HI 96817-6300
Phone
(808) 949-7568
Fax
(808) 941-3112
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A84024 CA
Dermatology Physician 207N00000X MD 15383 HI Primary

Addresses

Primary practice location

405 N Kuakini St
Suite 703
Honolulu, HI 96817-6300

Mailing address

405 N Kuakini St
Suite 703
Honolulu, HI 96817-6300

Other identifiers 1

IdentifierTypeStateIssuer
00A840240MedicaidCA

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
I20091106000334 HI Practitioner - Dermatology 7911925219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stella S. Matsuda, M.D., Inc.Group PAC ID 9335039916, 2 clinicians

Practice addresses (Care Compare)

405 N Kuakini St
Suite 703
Honolulu, HI 96817-6302
Phone (808) 949-7568

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions454
Removal or shaving of skin growth31
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84024CAMDDermatology Physician
MD 15383HIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stella S. Matsuda, M.D., Inc. CurrentSince Aug 31, 2009 Accepting new patients
Direct Dermatology Professionals PC Dermatology Past Accepting new patients

Locations

405 N Kuakini St
Ste 703
Honolulu, HI 96817
Phone (808) 949-1330

Interoperability endpoints

  • Direct secure messaging: shannon.sheu@hawaiihie.medicity.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1700821667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 703",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 703",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-949-7568",
            "fax_number": "808-941-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEU",
        "first_name": "SHANNON",
        "middle_name": "MEI YEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A84024",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "MD 15383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A840240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.