DR. STACIE K. NISHIMOTO M.D.
NPI 1033538384
Internal Medicine - Infectious Disease in Honolulu, HI

Q: What is Stacie Nishimoto's NPI number?

The NPI number for Stacie Nishimoto is 1033538384. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Stacie Nishimoto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Stacie Nishimoto was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment

3288 MOANALUA RD, HONOLULU, HI 96819(808) 432-0000 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Stacie K. Nishimoto M.d. NPPES

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

DR. STACIE K. NISHIMOTO M.D. (NPI 1033538384) is an individual infectious disease provider in Honolulu, Hawaii, licensed in Hawaii (MD-20242) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Kaiser Foundation Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1033538384

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameDR. STACIE K. NISHIMOTOCredential: M.D.

Location Address3288 MOANALUA RDHonolulu, HI 96819-1469

Mailing Address3288 Moanalua RdHonolulu, HI 96819-1469 · (808) 432-0000

Phone(808) 432-0000

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateApril 15, 2014

Last NPPES UpdateMay 7, 2021

NPPES CertifiedMay 7, 2021

✔ NPI 1033538384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in HI · MD-20242

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

3288 MOANALUA RD, Honolulu, HI 96819

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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

Dr. Stacie K. Nishimoto M.d. 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 ID4587096219

PECOS Enrollment IDI20191118001404

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96819 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.68 typical visit price

range $60.53 – $180.05

Typical copayment $34.17 (range $15.13 – $45.01)

Most-billed visit code 99204

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

DR. HEIDI M. SOLBERG-SHANKLE MD

Emergency Medicine