NICHOLAS W. ANDERSON (MD) – Sleep Medicine (Internal Medicine) Physician, NPI 1700443777

NICHOLAS W. ANDERSON (MD) is a healthcare provider. based in Aiea, Hawaii. specializing in SLEEP MEDICINE. They hold the professional credentials MD. They hold a License No. MDR-7685 (HI). The NPI Number for NICHOLAS W. ANDERSON (MD) is 1700443777

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS W. ANDERSON (MD)
NPI
1700443777
Phone
(808) 627-3200
Address
98-1005 MOANALUA RD SPC 3030
Enumeration Date
24 May 2019
Last Update Date
2 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
8082614476
Graduation Year
2019 (7 years ago)
PAC ID
9133507445
Group Practice PAC ID
8628113453
Professional Enrollment ID
I20231002000152
Address ID
HI968171646HO2230XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

9 SLEEP MEDICINE in HI

Provider Addresses for NICHOLAS W. ANDERSON (MD)

  • 98-1005 MOANALUA RD SPC 3030

    AIEA, HI 967014735

    Phone: (808) 627-3200

    Type: Location

  • Kuahelani Avenue, Mililani, Honolulu County, Hawaii, 96789, United States

    MILILANI, HI 967891192

    Phone:

    Type: Mailing

  • 98-1005 Moanalua Rd Spc 3030

    Aiea, HI 967014735

    Phone: (808) 627-3200

    Type: Location

  • 30 N 1900 E RM 4C104

    SALT LAKE CITY, UT 841320002

    Phone: (801) 408-1618

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $3,478.

Total Amount is formed as General ($3,478) + Research ($0) + Ownership ($0) = $3,478.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($2,523).

Total Amount

$3,478

General + Research + Ownership

Payments

52

Total payment records

General Amount

$3,478

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-02

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
I20231002000152ISleep 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96701)

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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: 8628113453View full group profile
NameSpecialtyState
Nurse PractitionerHI
N E U R O L O G YTX
Physician AssistantWA
N E U R O L O G YHI
N E U R O L O G YHI
N E U R O L O G YHI
Physical Medicine And RehabilitationHI
-HI
-HI
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I use this page to confirm NICHOLAS W. ANDERSON (MD)'s NPI?
Yes. NICHOLAS W. ANDERSON (MD) is listed with NPI 1700443777 in the public NPI dataset.
Is NICHOLAS W. ANDERSON (MD) still practicing?
NICHOLAS W. ANDERSON (MD) is currently listed as active in the public NPI registry.
What is NICHOLAS W. ANDERSON (MD)'s primary classification?
Sleep Medicine (Internal Medicine) Physician is the headline specialty for NICHOLAS W. ANDERSON (MD) here. Clinical services aligned with this taxonomy classification.
Where is NICHOLAS W. ANDERSON (MD) based?
NICHOLAS W. ANDERSON (MD) is tied to Aiea, Hawaii in the data we show; additional addresses may exist on the full record.
Why does NICHOLAS W. ANDERSON (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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