Robert Randolph Waterford, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

15055 Issued in HI

Practice address

385 Hukilike St
Suite 210
Kahului, HI 96732-3522

Phone

(808) 871-8346

Fax

(808) 871-8344

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Vascular SurgeryAlso: General Surgery, Thoracic Surgery

Education

Stanford University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.13 of 100Reported as individual

Quality

32.26

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15912/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DHEFDD/Endpoint/DHEFDD

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.

• Pacific Rim Cardiovascular Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kahului, HI
  • NPI 1891013199
  Medicare reassignment NPD Authorized official
• Cardiovascular and Endovascular Solutions, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Albuquerque, NM
  • NPI 1649451345
  NPD (past) Authorized official
• Cardiac Surgery Associates SC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Downers Grove, IL
  • NPI 1043269160
  NPD (past)
• Cardio-Thoracic Surgery PA a Professional Corporation

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lacombe, LA
  • NPI 1437263472
  NPD (past)
• New Mexico Heart Institute, LLC

  • Cardiovascular Disease Physician
  • Albuquerque, NM
  • NPI 1346242575

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1376559203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967930923",
            "telephone_number": "808-268-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 HUKILIKE ST",
            "address_2": "SUITE 210",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323522",
            "telephone_number": "808-871-8346",
            "fax_number": "808-871-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERFORD",
        "first_name": "ROBERT",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "HI",
            "license": "15055",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "HI",
            "license": "15055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BW115Y",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc
• Molly Waldrop
• Walgreen Co
• Walmart Inc.
• Joni S Watanabe, OTR/L
• Malia Watimar
• Emily Watts
• Jeremiah Hudson Webb
• Samuel E Webb, LMT
• Kathleen Noel Welch, LCSW

• Vascular Surgery Physician in Kahului, HI
• Providers in Kahului, HI by specialty
• Vascular Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.

Verify at the official NPI Registry.