Randy F Niklason, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD-6350 Issued in HI

Practice address

221 Mahalani St
Wailuku, HI 96793-2526

Phone

(808) 242-2290

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

Yes

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

Emergency Medicine

Education

Sanford School of Medicine of University of South Dakota, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lanai Emergency Medical Associates IncGroup PAC ID 9739431354, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lanai Community Hospital Hospital, Lanai City, HI, CCN 121305

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lanai Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • Lanai City, HI
  • NPI 1902388085
  Medicare reassignment Care Compare group NPD
• Maui Memorial Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • Wailuku, HI
  • NPI 1326531773
  Medicare reassignment NPD

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

• Maui Health System a Kaiser Foundation Hospitals LLC

  • Critical Access Hospital
  • Lana'I City, HI
  • NPI 1336501634
  Care Compare affiliation

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1699713396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 STATE ST",
            "address_2": "#300",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055602",
            "telephone_number": "805-563-3011",
            "fax_number": "805-564-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526",
            "telephone_number": "808-242-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKLASON",
        "first_name": "RANDY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-6350",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-6350",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03199801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Tien Nguyen, PHARM D
• Steven M Nguyen, MD
• Ashley Marie Nichols, DDS
• Dean Paul Nicklaw, LMT
• Hanaa Al-Khansa B Nik Rushdi, MD
• Jennifer Nill, DNP, FNP-BC
• Noel I. Termulo MD, Inc.
• Bryan T Nogaki, BEHAVIOR TECHNICIAN
• Melody S Nohara
• Nohona Health, Inc.

• Emergency Medicine Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Emergency Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.