Individual provider Active NPI

James F. Raelson, M.D.

  • Pediatrics Physician
  • Kalaheo, HI
National Provider Identifier
1033286281
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-13598 Issued in HI
Practice address
2469 Puu Rd Ste C
Kalaheo, HI 96741-8509
Phone
(808) 353-3953
Fax
(808) 353-3941
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-13598 HI Primary

Addresses

Primary practice location

2469 Puu Rd Ste C
Kalaheo, HI 96741-8509

Mailing address

PO Box 929
Kalaheo, HI 96741-0929
Phone (808) 353-3953

Other identifiers 9

IdentifierTypeStateIssuer
0000257097OtherHMSA
MD13598OtherMDX
57943500OtherQUEST ALOHACARE
6653402OtherUHA
H58169OtherKAISER
0000257097OtherBCBS
0000257097OtherTRICARE
0000257097OtherQUEST HMSA
99-0262194OtherHMAA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080304000216 HI Practitioner - Pediatric Medicine 6800971698 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Jan 10, 2024 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Mar 22, 2021 Accepting new patients
North Hawaii Community Hospital, Inc. CurrentSince Mar 22, 2021 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 10, 2024 Accepting new patients
Kauai Veterans Memorial Hospital Past Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients
Alii Health Center Past Accepting new patients
Malama NA Keiki O Kauai, LLC Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

Interoperability endpoints

  • Direct secure messaging: jraelson21229@hhsc.direct-ci.com
  • Direct secure messaging: james.raelson.1@9863.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1033286281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967410929",
            "telephone_number": "808-353-3953",
            "fax_number": "808-353-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 PUU RD STE C",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418509",
            "telephone_number": "808-353-3953",
            "fax_number": "808-353-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAELSON",
        "first_name": "JAMES",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD-13598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000257097",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDX",
            "identifier": "MD13598",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST ALOHACARE",
            "identifier": "57943500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "6653402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "H58169",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000257097",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "0000257097",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST HMSA",
            "identifier": "0000257097",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMAA",
            "identifier": "99-0262194",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalaheo, HI

Sources for this page

Verify at the official NPI Registry.