Individual provider Active NPI

Kersten T Milligan, MD

  • Emergency Medicine Physician
  • Aiea, HI
National Provider Identifier
1962764712
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
21610 Issued in NV
Practice address
98-1079 Moanalua Rd
Pali Momi Medical Center Emergency Services
Aiea, HI 96701-4713
Phone
(808) 485-4300
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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 MD-18142 HI
Emergency Medicine Physician 207P00000X 21610 NV Primary

Addresses

Primary practice location

98-1079 Moanalua Rd
Pali Momi Medical Center Emergency Services
Aiea, HI 96701-4713

Mailing address

98-1079 Moanalua Rd
Pali Momi Medical Center Emergency Services
Aiea, HI 96701-4713
Phone (808) 485-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, 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
I20150629002498 HI Practitioner - Emergency Medicine 8527370824 Reassigns benefits to 2 organizations
I20220825004141 NV Practitioner - Emergency Medicine 8527370824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Nevada, Las Vegas School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crum,Stefanko and Jones LTDGroup PAC ID 6901883438, 16 clinicians

Practice addresses (Care Compare)

2001 Errecart Blvd
Ruby Crest Emergency Medicine
Elko, NV 89801-8333
Phone (775) 738-5151

Hospital & facility affiliations

  • Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-18142HIMDEmergency Medicine Physician
21610NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crum,Stefanko and Jones LTD Emergency Medicine CurrentSince Aug 31, 2022 Accepting new patients
Emergency Medicine Physicians of Honolulu Pali Momi, LLC Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
Emergency Medicine Physicians of Honolulu Kapiolani, LLC Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1962764712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "PALI MOMI MEDICAL CENTER EMERGENCY SERVICES",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-485-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "PALI MOMI MEDICAL CENTER EMERGENCY SERVICES",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-485-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "KERSTEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-18142",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "21610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.