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SHILPA JAIN MD
NPI 1982840195
Internal Medicine - Gastroenterology in Honolulu, HI

Active since December 18, 2008PECOS EnrolledAccepts Medicare Assignment
2226 LILIHA ST STE 405, HONOLULU, HI 96817(808) 533-1708 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shilpa Jain Md NPPES

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

SHILPA JAIN MD (NPI 1982840195) is an individual gastroenterology provider in Honolulu, Hawaii, licensed in Hawaii (MD-17175) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1982840195
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameSHILPA JAINCredential: MD
Location Address2226 LILIHA ST STE 405Honolulu, HI 96817-1605
Mailing Address2226 Liliha St Ste 405Honolulu, HI 96817-1605 · (808) 533-1708
Phone(808) 533-1708
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 18, 2008
Last NPPES UpdateOctober 8, 2013
✔ NPI 1982840195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in HI · MD-17175
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License A105709 (CA)
2226 LILIHA ST STE 405, Honolulu, HI 96817
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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

Shilpa Jain 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 ID2567606098
PECOS Enrollment IDI20130923000594
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 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services28 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.
21 services18 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
13 services13 patients

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96817 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.

Reported Quality Measures

Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
63%282 patients2/55-star benchmark: 99%
Appropriate management of anticoagulation in the peri-procedural period rate - EGD
Percentage of patients undergoing an EGD on an anti-platelet agent or an anticoagulant who leave the endoscopy unit with instructions for management of this medication
100%163 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

ANKUR JAIN MD
Internal Medicine (Gastroenterology)
2226 LILIHA ST STE 405
HONOLULU, HI 96817
Honolulu County (808) 533-1708
ANKUR AND SHILPA JAIN, MD, INC
Internal Medicine (Gastroenterology)
2226 LILIHA ST STE 405
HONOLULU, HI 96817
Honolulu County (808) 533-1708
GLENN M.L. PANG, MD, INC
Specialist
2226 LILIHA ST STE 405
HONOLULU, HI 96817
Honolulu County (808) 533-1708

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 Shilpa Jain's NPI number?

The NPI number for Shilpa Jain is 1982840195. It was assigned to this individual provider in the NPPES registry on December 18, 2008.

Where is Shilpa Jain located?

Shilpa Jain practices at 2226 Liliha St Ste 405, Honolulu, HI 96817. The listed phone number is (808) 533-1708.

What is Shilpa Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shilpa Jain enrolled in Medicare?

Yes. Shilpa Jain 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 Shilpa Jain accept?

Health plans from HMSA list Shilpa Jain 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 Shilpa Jain affiliated with any hospitals?

According to CMS data, Shilpa Jain is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Shilpa Jain was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.