KELLY SHIGEYO SHIBUYA MD
NPI 1205493376
Allergy & Immunology in Honolulu, HI
About Kelly Shigeyo Shibuya Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY SHIGEYO SHIBUYA MD (NPI 1205493376) is an individual allergy & immunology provider in Honolulu, Hawaii, licensed in Hawaii (MD-22670) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Shigeyo Shibuya Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Shibuya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Queens Medical Center
Acute Care Hospitals · Honolulu, HIOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HONOLULU, HI 96813
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 Kelly Shibuya's NPI number?
The NPI number for Kelly Shibuya is 1205493376. It was assigned to this individual provider in the NPPES registry on May 23, 2019.
Where is Kelly Shibuya located?
Kelly Shibuya practices at 1380 Lusitana St Ste 604, Honolulu, HI 96813. The listed phone number is (808) 523-2020.
What is Kelly Shibuya's specialty?
The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.
Is Kelly Shibuya enrolled in Medicare?
Yes. Kelly Shibuya 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.
Which organization bills Medicare for Kelly Shibuya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Shibuya reassigns Medicare benefits to Abigail S Harada M D L L C (Honolulu, HI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Shibuya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Shibuya accept?
Health plans from HMSA list Kelly Shibuya 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 Kelly Shibuya affiliated with any hospitals?
According to CMS data, Kelly Shibuya is affiliated with The Queens Medical Center.
When was this NPI record last updated?
The NPPES record for Kelly Shibuya was last updated on October 15, 2024. 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.
# Kelly Shigeyo Shibuya, MD · NPI 1205493376
Allergy & Immunology physician in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since May 23, 2019.
## Identity
- **NPI:** 1205493376 (Entity type: Individual)
- **Enumerated:** May 23, 2019
- **Primary specialty:** Allergy & Immunology · taxonomy 207K00000X
- **State license:** MD-22670 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 1380 LUSITANA ST STE 604, Honolulu, HI 96813-2442
- **Phone:** (808) 523-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Abigail S Harada M D L L C (NPI 1164608493, Honolulu, HI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University, class of 2019
## Record status
- **NPPES last updated:** October 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205493376) · Data from the CMS NPPES public registry.