Individual provider Active NPI

Randall Suzuka, M.D.

  • Family Medicine Physician
  • Haleiwa, HI
National Provider Identifier
1053483099
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD5409 Issued in HI
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02102001MedicaidHI

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
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 GroupGroup PAC ID 2466831557, 614 clinicians

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 Home health agency, Honolulu, HI, CCN 127310
  • Careresource Hawaii Home health agency, Honolulu, HI, CCN 127013
  • Adventist Health Home Care Services Home health agency, Kaneohe, HI, CCN 127017
  • Bristol Hospice - Hawaii, LLC Hospice, Honolulu, HI, CCN 121508
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD5409HIMDFamily Medicine Physician

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
The Queen'S Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
Queen'S Development Corporation & Subsidiaries CurrentSince Jul 1, 2019 Accepting new patients
The Queens Medical Center CurrentSince Nov 1, 2021 Accepting new patients
The Queen'S Medical Center Current Accepting new patients
Queen'S Development Corporation & Subsidiaries CurrentSince Jul 1, 2019 Accepting new patients
Wahiawa General Hospital Family Medicine PastSince Sep 2, 2003 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

  • Direct secure messaging: randall.suzuka@hawaiihie.medicity.net
  • FHIR API: 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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.