KELLY SHIGEYO SHIBUYA MD
NPI 1205493376
Allergy & Immunology in Honolulu, HI

Active since May 23, 2019PECOS EnrolledAccepts Medicare Assignment
1380 LUSITANA ST STE 604, HONOLULU, HI 96813(808) 523-2020 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2024, May 23, 2019 (2 updates tracked since 2019).

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

NPI1205493376
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameKELLY SHIGEYO SHIBUYACredential: MD
Location Address1380 LUSITANA ST STE 604Honolulu, HI 96813-2442
Mailing Address1265 Nehoa StHonolulu, HI 96822-3071
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2019
Enumeration DateMay 23, 2019
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
NPI 1205493376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in HI · MD-22670
Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

1380 LUSITANA ST STE 604, Honolulu, HI 96813

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

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.

PECOS PAC ID5395126072
PECOS Enrollment IDI20240822002592
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.

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

Allergy & Immunology
1380 LUSITANA ST STE 604
HONOLULU, HI 96813
Ophthalmology
1380 LUSITANA ST STE 604
HONOLULU, HI 96813
Optometrist
1380 LUSITANA ST STE 604
HONOLULU, HI 96813
Ophthalmology
1380 LUSITANA ST STE 604, QUEEN'S MEDICAL CENTER, POB I
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.

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 with the weekly NPPES data releases published by CMS.