DR. ROBERT RANDOLPH WATERFORD MD NPI 1376559203

NPI Information

  • NPI: 1376559203
  • Provider Name: DR. ROBERT RANDOLPH WATERFORD, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 385 HUKILIKE ST
    SUITE 210
    KAHULUI, HI
    ZIP 96732
  • Phone: (808) 871-8346

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NPI Details

DR. Robert Randolph Waterford, MD is a vascular surgery surgery in Kahului, HI with 41 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Robert Randolph Waterford, MD NPI is 1376559203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

385 HUKILIKE ST
SUITE 210
KAHULUI, HI
ZIP 96732-522
Phone: (808) 871-8346
Fax: (808) 871-8344

The NPI 1376559203 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Application of vein wound compression bandages on lower leg, ankle, and foot (HCPCS:29581)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 7/31/2006 and was last updated on 2/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)15055HAWAIINo
22086S0129XSurgeryVascular Surgery15055HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BW115ZMEDICARE PIN
2BW115YOTHERHAWAIIMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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