Randall J. Nitta, Md, Llc - Medicare Primary Care in Aiea, HI

Randall J. Nitta, Md, Llc is a medicare enrolled primary clinic (Family Medicine) in Aiea, Hawaii. The current practice location for Randall J. Nitta, Md, Llc is 98-1247 Kaahumanu St Ste 306, Aiea, Hawaii. For appointments, you can reach them via phone at (808) 484-2904. The mailing address for Randall J. Nitta, Md, Llc is 98-1247 Kaahumanu St Ste 306, Aiea, Hawaii and phone number is (808) 260-4404.

Randall J. Nitta, Md, Llc is licensed to practice in Hawaii (license number 9319). The clinic also participates in the medicare program and its NPI number is 1134553597. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (808) 484-2904.

Contact Information

Randall J. Nitta, Md, Llc
98-1247 Kaahumanu St Ste 306
Aiea
HI 96701-5301
(808) 484-2904
(808) 484-2864

Primary Care Clinic Profile

Full NameRandall J. Nitta, Md, Llc
SpecialityFamily Medicine
Location98-1247 Kaahumanu St Ste 306, Aiea, Hawaii
Authorized Official Name and PositionRandall Jiro Nitta (MEMBER)
Authorized Official Contact8082604404
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randall J. Nitta, Md, Llc
98-1247 Kaahumanu St Ste 306
Aiea
HI 96701-5301

Ph: (808) 260-4404
Randall J. Nitta, Md, Llc
98-1247 Kaahumanu St Ste 306
Aiea
HI 96701-5301

Ph: (808) 484-2904

NPI Details:

NPI Number1134553597
Provider Enumeration Date08/21/2013
Last Update Date06/25/2019

Medicare PECOS Information:

Medicare PECOS PAC ID7719116383
Medicare Enrollment IDO20140130000296

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Medical Identifiers

Medical identifiers for Randall J. Nitta, Md, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134553597NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 9319 (Hawaii)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Randall J. Nitta, Md, Llc acts as a billing entity for following providers:
Provider NameRandall J Nitta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588757066
PECOS PAC ID: 1658394804
Enrollment ID: I20060113000265

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