1. Home
  2. Directory
  3. NPI Profile

DR. LUCY SHI DO
NPI 1013478049
General Practice in Mcbh, HI

Active since March 31, 2019PECOS Enrolled
6905 HARRIS AVE, MCBH, HI 98734(808) 257-3365 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2023, Aug 18, 2023, Jun 11, 2021 (3 updates tracked since 2021).

About Dr. Lucy Shi Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUCY SHI DO (NPI 1013478049) is an individual general practice provider in Mcbh, Hawaii, licensed in Virginia (0102206357) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1013478049
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. LUCY SHICredential: DO
Location Address6905 HARRIS AVEMcbh, HI 98734
Mailing Address1683 Gilbert St Ste 100Norfolk, VA 23511-0018 · (757) 763-8640
Phone(808) 257-3365
Sole ProprietorNo
Enumeration DateMarch 31, 2019
Last NPPES UpdateSeptember 19, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
✔ NPI 1013478049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0102206357
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Practice Locations 4

Location 1Naval Medical Center San Diego 38400 Bob Wilson DrSan Diego, CA 92134-5000 · Phone (505) 920-5838
Location 21683 Gilbert St Ste 100Norfolk, VA 23511-0018 · Phone (757) 763-8640
Location 3Camp LemonnierFPO, AE 09363 · Phone (757) 763-8640
Location 4480 Central AvePearl Harbor, HI 96860-4908 · Phone (808) 257-3365

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lucy Shi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucy Shi's NPI number?

The NPI number for Lucy Shi is 1013478049. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Where is Lucy Shi located?

Lucy Shi practices at 6905 Harris Ave, Mcbh, HI 98734. The listed phone number is (808) 257-3365.

What is Lucy Shi's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Lucy Shi enrolled in Medicare?

Yes. Lucy Shi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lucy Shi was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.