Individual provider Active NPI

Huidy Shu, M.D.

  • Neurology Physician
  • Aiea, HI
National Provider Identifier
1710098520
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD-16028 Issued in HI
Practice address
98-1079 Moanalua Rd
Suite 590
Aiea, HI 96701-4713
Phone
(808) 485-4250
Fax
(808) 485-3880
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD-16028 HI Primary
Neurology Physician 2084N0400X A84634 CA

Addresses

Primary practice location

98-1079 Moanalua Rd
Suite 590
Aiea, HI 96701-4713

Mailing address

98-1079 Moanalua Rd
Suite 590
Aiea, HI 96701-4713
Phone (808) 485-4250

Other identifiers 1

IdentifierTypeStateIssuer
00A846340MedicaidCA

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
I20101028001375 HI Practitioner - Neurology 5193820819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, Geffen School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pali Momi Medical CenterGroup PAC ID 6406746916, 90 clinicians

Practice addresses (Care Compare)

98 -1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (808) 486-6000

Hospital & facility affiliations

  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

Merit-based Incentive Payment System (MIPS)

Final score
83.35 of 100Reported as group
Quality
67.49
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84634CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Oct 14, 2010 Accepting new patients
Straub Clinic & Hospital CurrentSince Oct 14, 2010 Accepting new patients
Pali Momi Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Pali Momi Medical Center CurrentSince Jan 1, 2016 Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 408
Aiea, HI 96701

98-1079 Moanalua Rd
Ste 590
Aiea, HI 96701
Phone (808) 485-4250

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

98-1079 Moanalua Rd
Ste 480
Aiea, HI 96701
Phone (808) 487-8922

98-1079 Moanalua Rd
Ste 640
Aiea, HI 96701
Phone (808) 485-4250

1946 Young St
Ste 320
Honolulu, HI 96826

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rehabilitation Hospital of the PacificHonolulu, HI, CCN 123025 Hospital Corporate Director Jul 28, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1710098520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "SUITE 590",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-485-4250",
            "fax_number": "808-485-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "SUITE 590",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-485-4250",
            "fax_number": "808-485-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHU",
        "first_name": "HUIDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "HI",
            "license": "MD-16028",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A84634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A846340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.