NPIMap

Individual provider Active NPI

Craig Yoshihiro Shikuma, M.D.

  • Internal Medicine Physician
  • Hilo, HI
National Provider Identifier
1912958661
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3967 Issued in HI
Practice address
82 Puuhonu PL
Suite 207
Hilo, HI 96720-2010
Phone
(808) 935-5522
Fax
(808) 961-5058
NPI assigned
May 15, 2006
Last updated
May 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3967 HI Primary

Addresses

Primary practice location

82 Puuhonu PL
Suite 207
Hilo, HI 96720-2010

Mailing address

82 Puuhonu PL
Suite 207
Hilo, HI 96720-2010
Phone (808) 935-5522

Other identifiers 2

IdentifierTypeStateIssuer
0051896OtherHIHMSA PROVIDER NUMBER
045682-01MedicaidHI

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
I20050929001037 HI Practitioner - Internal Medicine 8426083205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilo Benioff Medical CenterGroup PAC ID 1254422900, 131 clinicians
Ecare Hawaii LLCGroup PAC ID 0648693051, 8 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

633 Ponahawai St
Suite 101
Hilo, HI 96720-7601
Phone (808) 885-3627

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3967HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince May 1, 2008 Accepting new patients
Ecare Hawaii LLC CurrentSince Jun 1, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince May 1, 2008 Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

633 Ponahawai St
Ste 101
Hilo, HI 96720
Phone (808) 885-3627

Interoperability endpoints

  • Direct secure messaging: craig.shikuma@hawaiihie.medicity.net
  • Direct secure messaging: cshikuma21423@hhsc.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1912958661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PUUHONU PL",
            "address_2": "SUITE 207",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202010",
            "telephone_number": "808-935-5522",
            "fax_number": "808-961-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PUUHONU PL",
            "address_2": "SUITE 207",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202010",
            "telephone_number": "808-935-5522",
            "fax_number": "808-961-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKUMA",
        "first_name": "CRAIG",
        "middle_name": "YOSHIHIRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "3967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NUMBER",
            "identifier": "0051896",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045682-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.