DR. RANDY F NIKLASON (MD) – Emergency Medicine Physician, NPI 1699713396

DR. RANDY F NIKLASON (MD) is a healthcare provider. based in Santa barbara, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD-6350 (HI). The NPI Number for DR. RANDY F NIKLASON (MD) is 1699713396

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDY F NIKLASON (MD)
NPI
1699713396
Phone
(805) 563-3011
Address
3916 STATE ST
Enumeration Date
3 June 2006
Last Update Date
17 September 2010

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
8085456411
Graduation Year
1977 (49 years ago)
PAC ID
0648293969
Group Practice PAC ID
9739431354
Professional Enrollment ID
I20060112000264
Address ID
HI967630650LA628XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

257 EMERGENCY MEDICINE in HI

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Provider Addresses for DR. RANDY F NIKLASON (MD)

  • 3916, State Street, Santa Barbara, Santa Barbara County, California, 93105, United States

    #300

    SANTA BARBARA, CA 931055602

    Phone: (805) 563-3011

    Fax: (805) 564-5087

    Type: Mailing

  • Maui Memorial Medical Center, 221, Mahalani Street, Wailuku, Maui County, Hawaii, 96793, United States

    WAILUKU, HI 967932526

    Phone: (808) 242-2290

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060112000264IEmergency MedicineHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 93105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739431354View full group profile
NameSpecialtyState
Emergency MedicineHI

Reviews

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Frequently asked questions

Does DR. RANDY F NIKLASON (MD) have a public NPI I can cite?
Public records show DR. RANDY F NIKLASON (MD) under NPI 1699713396.
Quick check: is DR. RANDY F NIKLASON (MD) active?
Public NPPES data shows DR. RANDY F NIKLASON (MD) with an active NPI status right now.
How should patients interpret DR. RANDY F NIKLASON (MD)'s specialty?
The extract shows Emergency Medicine Physician for DR. RANDY F NIKLASON (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. RANDY F NIKLASON (MD)?
DR. RANDY F NIKLASON (MD) shows a connection to Santa Barbara, California in registry-derived data.
Who maintains DR. RANDY F NIKLASON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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