Individual provider Active NPI

Randolph Hutter, MD

  • Cardiovascular Disease Physician
  • Ewa Beach, HI
National Provider Identifier
1700047339
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD-21912 Issued in HI
Practice address
91-2135 Fort Weaver Rd FL 3
Ewa Beach, HI 96706-1940
Phone
(808) 691-3340
NPI assigned
Jun 17, 2008
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 132816 MT
Cardiovascular Disease Physician 207RC0000X 260186 NY
Cardiovascular Disease Physician 207RC0000X MD-21912 HI Primary

Addresses

Primary practice location

91-2135 Fort Weaver Rd FL 3
Ewa Beach, HI 96706-1940

Mailing address

91-2135 Fort Weaver Rd FL 3
Ewa Beach, HI 96706-1940
Phone (808) 691-3340

Other practice location 1

1249 Park Ave Apt 6H
New York, NY 10029-7211
Phone (212) 241-4029

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhutter41200@benefishs.direct-ci.com Benefis Hospitals Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20240311001511 MT Practitioner - Cardiovascular Disease (Cardiology) 6709005556 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Falls Clinic LLCGroup PAC ID 8325944499, 73 clinicians

Practice addresses (Care Compare)

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-21912HIMDInternal Medicine Physician
132816MTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queen's Medical Center Current Accepting new patients
The Queens Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Great Falls Clinic LLC CurrentSince Mar 15, 2025 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Feb 15, 2024 Accepting new patients
The Queen's Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Benefis Hospitals Inc CurrentSince Feb 15, 2024 Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

98-1247 Kaahumanu St
Ste 208
Aiea, HI 96701
Phone (808) 486-6116

98-1247 Kaahumanu St
Ste 208
Aiea, HI 96701

91-2135 Fort Weaver Rd
Fl 3
Ewa Beach, HI 96706
Phone (808) 691-3150

550 S Beretania St
Ste 601
Honolulu, HI 96813
Phone (808) 691-8877

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

3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1300 28th St S
Ste 2
Great Falls, MT 59405
Phone (406) 731-2362

1300 28th St S
Fl 2
Great Falls, MT 59405
Phone (406) 455-4320

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

Interoperability endpoints

  • Direct secure messaging: randolph.hutter.1@25095.direct.athenahealth.com
  • Direct secure messaging: rhutter41200@benefishs.direct-ci.com
  • Direct secure messaging: rhutter340995@direct.thedacare.org
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1700047339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD FL 3",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061940",
            "telephone_number": "808-691-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD FL 3",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061940",
            "telephone_number": "808-691-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1249 Park Ave Apt 6H",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100297211",
            "country_code": "US",
            "telephone_number": "212-241-4029",
            "fax_number": "212-876-1493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTTER",
        "first_name": "RANDOLPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "132816",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "260186",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "MD-21912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhutter41200@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "1300 28th St S Fl 2",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594055296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

Verify at the official NPI Registry.