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DR. SHERI MICHIKO SHIMIZU-SAITO M.D.
NPI 1487880902
Internal Medicine - Pulmonary Disease in Honolulu, HI

Active since June 10, 2009PECOS EnrolledAccepts Medicare Assignment
86.2/100
CMS Quality Rating
1329 LUSITANA ST STE 704, HONOLULU, HI 96813 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2018, Nov 7, 2016 (2 updates tracked since 2016).

About Dr. Sheri Michiko Shimizu-saito M.d. NPPES

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

DR. SHERI MICHIKO SHIMIZU-SAITO M.D. (NPI 1487880902) is an individual pulmonary disease provider in Honolulu, Hawaii, licensed in Hawaii (MD16481) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1487880902
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SHERI MICHIKO SHIMIZU-SAITOCredential: M.D.
Location Address1329 LUSITANA ST STE 704Honolulu, HI 96813-2431
Mailing Address1329 Lusitana St Ste 704Honolulu, HI 96813-2431 · (808) 691-8725
Sole ProprietorYes
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2009
Enumeration DateJune 10, 2009
Last NPPES UpdateOctober 16, 20182 updates tracked since enumeration
✔ NPI 1487880902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in HI · MD16481
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD 16481 (HI)
1329 LUSITANA ST STE 704, Honolulu, HI 96813
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Secondary Practice Location 1

Location 12050 Kenny Rd, Pavillion Suite 2200Columbus, OH 43221-3502 · Phone (614) 293-4925

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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. Sheri Michiko Shimizu-saito 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 ID6709034069
PECOS Enrollment IDI20120912000407
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
408 services228 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services72 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
78 services76 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
77 services77 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
63 services60 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services39 patients

Hospital Affiliations CMS Care Compare 5

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

Adventist Health Castle

Acute Care Hospitals · Kailua, HI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number120006
Location640 Ulukahiki StKailua, HI 96734 · Honolulu County
Emergency services Birthing friendly

Kuakini Medical Center

Acute Care Hospitals · Honolulu, HI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120007
Location347 North Kuakini StreetHonolulu, HI 96817 · Honolulu County
Emergency services

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120022
Location888 S King StreetHonolulu, HI 96813 · Honolulu County
Emergency services

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120026
Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.28
Promoting Interoperability100
Improvement Activities40
Cost73.72

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers32 claims32 services$30.67 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers25 claims25 services$72.76 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers22 claims52 services$25.61 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers26 claims130 services$11.98 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers15 claims73 services$12.92 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers43 claims43 services$42.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

BRUCE ARMIN GOTTLEBER SOLL MD
Internal Medicine (Pulmonary Disease)
1329 LUSITANA ST STE 704
HONOLULU, HI 96813
Honolulu County (808) 524-2100

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 Sheri Shimizu-saito's NPI number?

The NPI number for Sheri Shimizu-saito is 1487880902. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is Sheri Shimizu-saito located?

Sheri Shimizu-saito practices at 1329 Lusitana St Ste 704, Honolulu, HI 96813.

What is Sheri Shimizu-saito's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sheri Shimizu-saito enrolled in Medicare?

Yes. Sheri Shimizu-saito 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 Sheri Shimizu-saito accept?

Health plans from HMSA list Sheri Shimizu-saito 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 Sheri Shimizu-saito affiliated with any hospitals?

According to CMS data, Sheri Shimizu-saito is affiliated with The Queens Medical Center, Adventist Health Castle, Kuakini Medical Center, Straub Clinic And Hospital and Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Sheri Shimizu-saito was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.