Individual provider Active NPI

Raanan Elan Pokroy, M.D.

  • Emergency Medicine Physician
  • Lihue, HI
National Provider Identifier
1841229135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12385 Issued in HI
Practice address
3-3420 Kuhio Hwy
Lihue, HI 96766-1042
Phone
(904) 343-9944
Fax
(904) 688-0384
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12385 HI Primary
Emergency Medicine Physician 207P00000X ME88031 FL

Addresses

Primary practice location

3-3420 Kuhio Hwy
Lihue, HI 96766-1042

Mailing address

3-3420 Suite B Kuhio Hihgway
Kauai Medical Clinic
Lihue, HI 96766
Phone (904) 343-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101006000939 CA Practitioner - Emergency Medicine 8426005190 Reassigns benefits to 1 organization
I20170718002541 NV Practitioner - Emergency Medicine 8426005190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Creighton University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lola Emergency Physicians LLCGroup PAC ID 9234464124, 9 clinicians

Practice addresses (Care Compare)

360 S Lola LN
Pahrump, NV 89048-0884
Phone (954) 939-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as virtual group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54154CAMDPharmacotherapy Pharmacist
12385HIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Healthcare District CurrentSince Jan 16, 2025 Accepting new patients
Lola Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Seneca Healthcare District CurrentSince Jan 16, 2025 Accepting new patients
Emcare Physician Providers Inc Emergency Medicine Past Accepting new patients
East Valley Emergency Medical Associates, Inc Emergency Medicine PastSince May 16, 2021 Accepting new patients
Foothill Emergency Medical Associates, Inc Emergency Medicine Past Accepting new patients
Jesup Emergency Services, LLC Emergency Medicine Past Accepting new patients

Locations

360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841229135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-3420 SUITE B KUHIO HIHGWAY",
            "address_2": "KAUAI MEDICAL CLINIC",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "96766",
            "telephone_number": "904-343-9944",
            "fax_number": "904-688-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-3420 KUHIO HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661042",
            "telephone_number": "904-343-9944",
            "fax_number": "904-688-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKROY",
        "first_name": "RAANAN",
        "middle_name": "ELAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "12385",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME88031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.