Shaun P Berry, MD
Family Medicine in Kailua, HI. Individual provider (NPI-1).
NPI number1497725683
StatusActive
Last updated in NPPESFeb 21, 2008
Details
- NPI
- 1497725683
- Entity type
- Individual (NPI-1)
- Name
- Shaun P Berry
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2006
- Last updated
- Feb 21, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD8751 | HI | Yes |
Practice location
571 Kaimalino StKailua, HI 96734-1611
Phone 808-387-6868 · Fax 808-254-2346
Mailing address
571 Kaimalino StKailua, HI 96734-1611
Phone 808-387-6868 · Fax 808-254-2346
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 39 Family Medicine Physician providers in Kailua · All 1,823 providers in Kailua
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