NPIMap

Organization Active NPI

Randall H. Hirata M.D., Inc.

  • Obstetrics & Gynecology Physician
  • Hilo, HI
National Provider Identifier
1356864433
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
8027 Issued in HI
Legal business name
RANDALL H. HIRATA M.D., INC.
Practice address
82 Puuhonu PL Ste 209
Hilo, HI 96720-2010
Phone
(808) 969-7763
Fax
(808) 935-7821
NPI assigned
Jul 20, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Randall H. Hirata, MD
Title
President
Phone
(808) 969-7763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 8027 HI Primary

Addresses

Primary practice location

82 Puuhonu PL Ste 209
Hilo, HI 96720-2010

Mailing address

82 Puuhonu PL Ste 209
Hilo, HI 96720-2010
Phone (808) 969-7763

Other identifiers 1

IdentifierTypeStateIssuer
07873702MedicaidHI

National Provider Directory

National Provider Directory

Locations

82 Puuhonu Pl
Ste 209
Hilo, HI 96720
Phone (808) 796-3125

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356864433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PUUHONU PL STE 209",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202010",
            "telephone_number": "808-969-7763",
            "fax_number": "808-935-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PUUHONU PL STE 209",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202010",
            "telephone_number": "808-969-7763",
            "fax_number": "808-935-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL H. HIRATA M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HIRATA",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-969-7763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "8027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07873702",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.