Individual provider Active NPI

Toshiyuki Shibata, MD

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1851396881
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD8052 Issued in HI
Practice address
600 Kapiolani Blvd
Ste 402
Honolulu, HI 96813-5141
Phone
(808) 537-2665
Fax
(808) 524-3747
NPI assigned
Jun 16, 2005
Last updated
Oct 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD8052 HI Primary

Addresses

Primary practice location

600 Kapiolani Blvd
Ste 402
Honolulu, HI 96813-5141

Mailing address

600 Kapiolani Blvd
Ste 402
Honolulu, HI 96813-5141
Phone (808) 537-2665

Other identifiers 2

IdentifierTypeStateIssuer
07792301MedicaidHI
B206363OtherHIHMSA

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
I20101215000159 HI Practitioner - Psychiatry 3375685159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Alcoholic Rehabilitation Services of Hawaii IncGroup PAC ID 8426216466, 2 clinicians

Practice addresses (Care Compare)

45 -845 Pookela St
Kaneohe, HI 96744-5700
Phone (808) 236-2600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD8052HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heather H. McDermott, Psy.D., LLC PastSince Jan 17, 2015 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1851396881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 KAPIOLANI BLVD",
            "address_2": "STE 402",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135141",
            "telephone_number": "808-537-2665",
            "fax_number": "808-524-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 KAPIOLANI BLVD",
            "address_2": "STE 402",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135141",
            "telephone_number": "808-537-2665",
            "fax_number": "808-524-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBATA",
        "first_name": "TOSHIYUKI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD8052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07792301",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B206363",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.