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SHANTELLE S. KAMIBAYASHI OD
NPI 1750935748
Optometrist in Waipahu, HI

Active since July 28, 2019PECOS EnrolledAccepts Medicare Assignment
94-1480 MOANIANI ST, WAIPAHU, HI 96797(808) 432-3100 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2021, Jul 28, 2019 (2 updates tracked since 2019).

About Shantelle S. Kamibayashi Od NPPES

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

SHANTELLE S. KAMIBAYASHI OD (NPI 1750935748) is an individual optometrist in Waipahu, Hawaii, licensed in Hawaii (OD-934) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2019).

NPPES Registry Identity

NPI1750935748
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSHANTELLE S. KAMIBAYASHICredential: OD
Location Address94-1480 MOANIANI STWaipahu, HI 96797-4632
Mailing Address94-1480 Moaniani StWaipahu, HI 96797-4632 · (808) 432-3100
Phone(808) 432-3100
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2019
Enumeration DateJuly 28, 2019
Last NPPES UpdateMay 10, 20212 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1750935748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in HI · OD-934
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
94-1480 MOANIANI ST, Waipahu, HI 96797
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shantelle S. Kamibayashi Od 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 ID3274865357
PECOS Enrollment IDI20200824003421
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 Shantelle Kamibayashi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hawaii Permanente Medical Group Inc
7.8 mi
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group
NPI 1710945969 (808) 432-0000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96797 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
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LEATRICE E MAIAVA PTA
Physical Therapy Assistant
94-1480 MOANIANI ST
WAIPAHU, HI 96797
Honolulu County (808) 432-3100
SARA C. HARRIS MD
Obstetrics & Gynecology
94-1480 MOANIANI ST
WAIPAHU, HI 96797
Honolulu County (808) 432-3100
ERYN M. WICKLOW PA-C
Physician Assistant
94-1480 MOANIANI ST
WAIPAHU, HI 96797
Honolulu County (808) 432-3100
DR. CATHY K BELL M.D
Psychiatry & Neurology (Child & Adolescent Psychiatry)
94-1480 MOANIANI ST
WAIPAHU, HI 96797
Honolulu County (808) 432-3100
SHARON A. ROSE ED.D, PSY
Psychologist
94-1480 MOANIANI ST
WAIPAHU, HI 96797
Honolulu County (808) 432-3100
MONICA MARIA KALAMA LCSW
Social Worker (Clinical)
94-1480 MOANIANI ST
WAIPAHU, HI 96797
Honolulu County (833) 833-3333
RUSSELL W. L. AU OD
Optometrist
94-1480 MOANIANI ST
WAIPAHU, HI 96797
Honolulu County (808) 432-3100
CAMERON AKEMI QUON
Occupational Therapist
94-1480 MOANIANI ST
WAIPAHU, HI 96797
Honolulu County (833) 833-3333

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 Shantelle Kamibayashi's NPI number?

The NPI number for Shantelle Kamibayashi is 1750935748. It was assigned to this individual provider in the NPPES registry on July 28, 2019.

Where is Shantelle Kamibayashi located?

Shantelle Kamibayashi practices at 94-1480 Moaniani St, Waipahu, HI 96797. The listed phone number is (808) 432-3100.

What is Shantelle Kamibayashi's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shantelle Kamibayashi enrolled in Medicare?

Yes. Shantelle Kamibayashi 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 Shantelle Kamibayashi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shantelle Kamibayashi reassigns Medicare benefits to Hawaii Permanente Medical Group Inc (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 Shantelle Kamibayashi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shantelle Kamibayashi accept?

Health plans from Kaiser Permanente list Shantelle Kamibayashi 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.

When was this NPI record last updated?

The NPPES record for Shantelle Kamibayashi was last updated on May 10, 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.