CODY A. SHISHIDO PA-C
NPI 1013685007
Physician Assistant - Surgical in Honolulu, HI

Active since September 02, 2021PECOS EnrolledAccepts Medicare Assignment
3288 MOANALUA RD, HONOLULU, HI 96819(808) 432-0000 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cody A. Shishido Pa-c NPPES

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

CODY A. SHISHIDO PA-C (NPI 1013685007) is an individual surgical provider in Honolulu, Hawaii, licensed in Hawaii (AMD-1092) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Kaiser Foundation Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013685007
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCODY A. SHISHIDOCredential: PA-C
Location Address3288 MOANALUA RDHonolulu, HI 96819-1469
Mailing Address3288 Moanalua RdHonolulu, HI 96819-1469 · (808) 432-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 2, 2021
Last NPPES UpdateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
NPI 1013685007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in HI · AMD-1092
3288 MOANALUA RD, Honolulu, HI 96819

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cody A. Shishido Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022406958
PECOS Enrollment IDI20211026003622
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaiser Foundation Hospital

Acute Care Hospitals · Honolulu, HI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120011
Location3288 Moanalua RdHonolulu, HI 96819 · Honolulu County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
3288 MOANALUA RD
HONOLULU, HI 96819
Nurse Practitioner
3288 MOANALUA RD
HONOLULU, HI 96819
Internal Medicine (Cardiovascular Disease)
3288 MOANALUA RD
HONOLULU, HI 96819
Physical Therapist
3288 MOANALUA RD
HONOLULU, HI 96819
Hospitalist
3288 MOANALUA RD
HONOLULU, HI 96819
Pharmacist
3288 MOANALUA RD
HONOLULU, HI 96819
Nurse Practitioner (Family)
3288 MOANALUA RD
HONOLULU, HI 96819
Physician Assistant (Medical)
3288 MOANALUA RD
HONOLULU, HI 96819

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 Cody Shishido's NPI number?

The NPI number for Cody Shishido is 1013685007. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Cody Shishido located?

Cody Shishido practices at 3288 Moanalua Rd, Honolulu, HI 96819. The listed phone number is (808) 432-0000.

What is Cody Shishido's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Cody Shishido enrolled in Medicare?

Yes. Cody Shishido is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cody Shishido accept?

Health plans from Kaiser Permanente list Cody Shishido as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cody Shishido affiliated with any hospitals?

According to CMS data, Cody Shishido is affiliated with Kaiser Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Cody Shishido was last updated on December 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.