KAUMAKAOKALANI SHIMATSU (M.D.) – Internal Medicine Physician, NPI 1194014357

KAUMAKAOKALANI SHIMATSU (M.D.) is a healthcare provider. based in Wailuku, Hawaii. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. H00329654 (HI). The NPI Number for KAUMAKAOKALANI SHIMATSU (M.D.) is 1194014357

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KAUMAKAOKALANI SHIMATSU (M.D.)
NPI
1194014357
Phone
(808) 243-6050
Address
55 Maui Lani Pkwy
Enumeration Date
28 March 2011
Last Update Date
11 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
50374932421124
Graduation Year
2011 (15 years ago)
PAC ID
7810117231
Group Practice PAC ID
7416978440
Professional Enrollment ID
I20161111001108
Address ID
CA959532334LI9980XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

818 INTERNAL MEDICINE in HI

Provider Addresses for KAUMAKAOKALANI SHIMATSU (M.D.)

  • 55 Maui Lani Pkwy

    Wailuku, HI 967932416

    Phone: (808) 243-6050

    Type: Location

  • 245 LAU OLIWA LOOP

    WAILUKU, HI 967932188

    Phone:

    Type: Mailing

  • 55 MAUI LANI PKWY

    WAILUKU, HI 967932416

    Phone: (808) 243-6050

    Type: Location

  • 1449 CEDARBROOK RD

    WEST SACRAMENTO, CA 956915084

    Phone:

    Type: Mailing

  • 5730 PACKARD AVE STE 500

    MARYSVILLE, CA 959017119

    Phone: (530) 749-3242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $252.

Total Amount is formed as General ($252) + Research ($0) + Ownership ($0) = $252.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: ViiV Healthcare Company ($104).

Total Amount

$252

General + Research + Ownership

Payments

8

Total payment records

General Amount

$252

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141008000049IInternal MedicineHITBD
I20161111001108IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
82962Blood glucose (sugar) test performed by hand-held instrument3732$0
99214Established patient office or other outpatient visit, 30-39 minutes3232$0
83036Hemoglobin a1c level2828$0
99213Established patient office or other outpatient visit, 20-29 minutes1514$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1414$0
View full utilization report →

Insurance plans in this area (ZIP 96793)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416978440View full group profile
NameSpecialtyState
P O D I A T R YCA
Family PracticeCA
Family PracticeTX
-CA
Family PracticeAZ
Clinical Social WorkerCA
Family PracticeNJ
Marriage And Family TherapistCA
Family PracticeCA
P S Y C H I A T R YPA

Reviews

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Frequently asked questions

How do I look up KAUMAKAOKALANI SHIMATSU (M.D.) by NPI?
Use NPI 1194014357 when you need to reference KAUMAKAOKALANI SHIMATSU (M.D.) in forms, claims, or directories.
Is KAUMAKAOKALANI SHIMATSU (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KAUMAKAOKALANI SHIMATSU (M.D.) work in?
You can think of KAUMAKAOKALANI SHIMATSU (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place KAUMAKAOKALANI SHIMATSU (M.D.)?
The snapshot lists Wailuku, Hawaii for KAUMAKAOKALANI SHIMATSU (M.D.); download NPPES for the complete set.
Is KAUMAKAOKALANI SHIMATSU (M.D.) a real provider?
This page reflects official NPPES data for NPI 1194014357. Always confirm identity and privileges with the practice and licensing boards.

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