KELLY A. SHIMABUKURO MD
NPI 1821166448
Internal Medicine - Hematology & Oncology in Honolulu, HI

Q: What is Kelly Shimabukuro's NPI number?

The NPI number for Kelly Shimabukuro is 1821166448. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Kelly Shimabukuro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Shimabukuro was last updated on May 7, 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.

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment

3288 MOANALUA RD, HONOLULU, HI 96819(808) 432-0000 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kelly A. Shimabukuro Md NPPES

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

KELLY A. SHIMABUKURO MD (NPI 1821166448) is an individual hematology & oncology provider in Honolulu, Hawaii, licensed in California (A91456) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Kaiser Foundation Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (2003).

NPPES Registry Identity

NPI1821166448

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameKELLY A. SHIMABUKUROCredential: MD

Location Address3288 MOANALUA RDHonolulu, HI 96819-1469

Mailing Address3288 Moanalua RdHonolulu, HI 96819-1469 · (808) 432-0000

Phone(808) 432-0000

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2003

Enumeration DateDecember 1, 2006

Last NPPES UpdateMay 7, 2021

NPPES CertifiedMay 7, 2021

✔ NPI 1821166448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in CA · A91456

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License A91456 (CA)

3288 MOANALUA RD, Honolulu, HI 96819

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly A. Shimabukuro 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 ID9436252327

PECOS Enrollment IDI20150612000732

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

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.

54 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaiser Foundation Hospital

Acute Care Hospitals · Honolulu, HI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120011

Location3288 Moanalua RdHonolulu, HI 96819 · Honolulu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96819 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

$180.05 typical visit price

range $60.53 – $180.05

Typical copayment $45.01 (range $15.13 – $45.01)

Most-billed visit code 99205

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.

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.

DR. HEIDI M. SOLBERG-SHANKLE MD

Emergency Medicine