Active NPI
Randall Suzuka, M.D.
- Family Medicine Physician
- Haleiwa, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD5409
- Practice address
- 66-125 Kamehameha Hwy
Haleiwa, HI 96712-1420 - Phone
- (808) 637-5087
- Fax
- (808) 637-4765
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD5409 | HI | Primary |
Addresses
Primary practice location
66-125 Kamehameha Hwy
Haleiwa, HI 96712-1420
Mailing address
95-1091 Kualapa St
Mililani, HI 96789-4272
Phone (808) 626-2021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02102001 | Medicaid | HI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101111001250 | HI | Practitioner - Family Practice | 9537070867 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Hawaii John a. Burns School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Queens University Medical Group
Practice addresses (Care Compare)
1380 Lusitana St
Honolulu, HI 96813-2448
66-125 Kamehameha Hwy
Haleiwa, HI 96712-1601
Phone (808) 637-5087
95 -1249 Meheula Pkwy
Suite 129
Mililani, HI 96789-1787
Phone (808) 623-2435
Hospital & facility affiliations
- Bayada Home Health Care
- Careresource Hawaii
- Adventist Health Home Care Services
- Bristol Hospice - Hawaii, LLC
- The Queens Medical Center
- Pali Momi Medical Center
- Straub Clinic and Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD5409 | HI | MD | Family Medicine Physician |
Practice roles (7 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Queen'S Medical Center | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients | |
| Queen'S Development Corporation & Subsidiaries | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| The Queen'S Medical Center | Current | Accepting new patients | |
| Queen'S Development Corporation & Subsidiaries | Current | Accepting new patients | |
| Wahiawa General Hospital | Family Medicine | Past | Accepting new patients |
Locations
66-125 Kamehameha Hwy
Haleiwa, HI 96712
Phone (808) 225-0725
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427
95-1249 Meheula Pkwy
Ste 129
Mililani, HI 96789
Phone (808) 623-2435
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
Interoperability endpoints
- randall.suzuka@hawaiihie.medicity.net
- https://fhir-usa.unify.chbase.com/org/wahiawa-2d8a6fe9
Organizations & group practices 7
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.
-
- Durable Medical Equipment & Medical Supplies
- Honolulu, HI
- NPI 1881695476
-
- Health Service Clinic/Center
- Honolulu, HI
- NPI 1336761311
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Honolulu, HI
- NPI 1306105176
-
- Home Health Agency
- Honolulu, HI
- NPI 1225478605
-
- Community Based Hospice Care Agency
- Honolulu, HI
- NPI 1811045594
Hospice
-
- Home Health Agency
- Honolulu, HI
- NPI 1245299114
-
- Home Health Agency
- Kaneohe, HI
- NPI 1093147886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053483099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-1091 KUALAPA ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967894272",
"telephone_number": "808-626-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66-125 KAMEHAMEHA HWY",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967121420",
"telephone_number": "808-637-5087",
"fax_number": "808-637-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUZUKA",
"first_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD5409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02102001",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haleiwa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.