Active NPI
Randall Glenn Gerber
- Anesthesiology Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD-7939
- Practice address
- 1360 S Beretania St
#215
Honolulu, HI 96814-1520 - Phone
- (808) 532-3711
- Fax
- (808) 532-3713
- NPI assigned
- Jul 3, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD-7939 | HI | Primary |
Addresses
Primary practice location
1360 S Beretania St
#215
Honolulu, HI 96814-1520
Mailing address
1474 Wailuku Dr
Hilo, HI 96720-1254
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A002 | Other | CHAMPUS TRICARE | |
| 070938-01 | Other | ACS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Hawaii John a. Burns School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Professional Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| The Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
Locations
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
82 Puuhonu Pl
Ste 100
Hilo, HI 96720
Phone (808) 937-2001
1360 S Beretania St
Ste 215
Honolulu, HI 96814
Phone (808) 532-3711
Interoperability endpoints
- rgerber20290@hhsc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- Anesthesiology Physician
- Honolulu, HI
- NPI 1356362990
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1174159834
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669402236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1474 WAILUKU DR",
"city": "HILO",
"state": "HI",
"postal_code": "967201254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 S BERETANIA ST",
"address_2": "#215",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141520",
"telephone_number": "808-532-3711",
"fax_number": "808-532-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBER",
"first_name": "RANDALL",
"middle_name": "GLENN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "HI",
"license": "MD-7939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS TRICARE",
"identifier": "A002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS",
"identifier": "070938-01",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, 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.