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DR. CLYDE H. ISHII JR. M.D.
NPI 1366450330
Specialist in Honolulu, HI

Active since August 04, 2006PECOS Enrolled
1329 LUSITANA ST STE 304, HONOLULU, HI 96813(808) 537-6630(808) 536-4084 Get Directions Write a Review

NPPES record last updated: December 21, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Clyde H. Ishii Jr. M.d. NPPES

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

DR. CLYDE H. ISHII JR. M.D. (NPI 1366450330) is an individual specialist in Honolulu, Hawaii, licensed in Hawaii (5352) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366450330
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CLYDE H. ISHII JR.Credential: M.D.
Location Address1329 LUSITANA ST STE 304Honolulu, HI 96813-2411
Mailing Address1329 Lusitana St Ste 304Honolulu, HI 96813-2411 · (808) 537-6630 · Fax (808) 536-4084
Phone(808) 537-6630
Fax(808) 536-4084
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateDecember 21, 2007
✔ NPI 1366450330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in HI · 5352
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1329 LUSITANA ST STE 304, Honolulu, HI 96813
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Other Identifiers 2

Medicare ID-Type UnspecifiedH0000BDRWGHI
Medicare UPIND43447HI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clyde H. Ishii Jr. M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Clyde Ishii reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shriners Hospitals For Children
1.2 mi
Anesthesiology
1310 PUNAHOU ST
Honolulu, HI 96826
  • Reassigned Medicare billing, Hawaii enrollment
  • 39 clinicians in this Medicare group
NPI 1225526478 (808) 941-4466

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

DR. CEDRIC SAN FELIPE LORENZO M.D.
Surgery
1329 LUSITANA ST STE 304
HONOLULU, HI 96813
Honolulu County (808) 566-6723
TRANG NGUYEN CHRISTIE FNP-BC; APRN-RX
Nurse Practitioner (Family)
1329 LUSITANA ST STE 304
HONOLULU, HI 96813
Honolulu County (808) 518-9119
CEDRIC S F LORENZO MD INC
Surgery
1329 LUSITANA ST STE 304
HONOLULU, HI 96813
Honolulu County (808) 566-6723
CLYDE H. ISHII, MD, FACS, LLC
Specialist
1329 LUSITANA ST STE 304
HONOLULU, HI 96813
Honolulu County (808) 537-6630
TRANG N. CHRISTIE FNP-BC, LLC
Nurse Practitioner (Family)
1329 LUSITANA ST STE 304
HONOLULU, HI 96813
Honolulu County (808) 518-9119

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 Clyde Ishii's NPI number?

The NPI number for Clyde Ishii is 1366450330. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Clyde Ishii located?

Clyde Ishii practices at 1329 Lusitana St Ste 304, Honolulu, HI 96813. The listed phone number is (808) 537-6630.

What is Clyde Ishii's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Clyde Ishii enrolled in Medicare?

Yes. Clyde Ishii is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clyde Ishii's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clyde Ishii reassigns Medicare benefits to Shriners Hospitals For Children (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 Clyde Ishii's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clyde Ishii was last updated on December 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.