Active NPI
Randall M. Todd, MD
- Emergency Medicine Physician
- Indianapolis, IN
National Provider Identifier
1003828682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01035235
- Practice address
- 8111 S Emerson Ave
Indianapolis, IN 46237-8601 - Phone
- (317) 528-5261
- Fax
- (317) 528-5026
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01035235 | IN | Primary |
Addresses
Primary practice location
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Mailing address
PO Box 7112
Dept. #31
Indianapolis, IN 46207-7112
Phone (866) 516-2307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100325030 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01035235 | IN | MD | Emergency Medicine Physician |
Interoperability endpoints
- rtodd7572@direct.franciscanalliance.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1003828682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7112",
"address_2": "DEPT. #31",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462077112",
"telephone_number": "866-516-2307",
"fax_number": "888-516-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 S EMERSON AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378601",
"telephone_number": "317-528-5261",
"fax_number": "317-528-5026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "RANDALL",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01035235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100325030",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.