Individual provider Active NPI

Randy Herman Schenkman, M.D.

  • Diagnostic Radiology Physician
  • Doral, FL
National Provider Identifier
1013007376
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME 37163 Issued in FL
Practice address
5195 NW 77TH Ave
Doral, FL 33166-5524
Phone
(305) 477-7388
Fax
(305) 669-4502
NPI assigned
Oct 14, 2006
Last updated
Jul 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME 37163 FL Primary

Addresses

Primary practice location

5195 NW 77TH Ave
Doral, FL 33166-5524

Mailing address

10800 Lakeside Dr
Coral Gables, FL 33156-4208
Phone (305) 477-7388

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 37163FLMDDiagnostic Radiology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1013007376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 LAKESIDE DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331564208",
            "telephone_number": "305-477-7388",
            "fax_number": "305-669-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5195 NW 77TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665524",
            "telephone_number": "305-477-7388",
            "fax_number": "305-669-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENKMAN",
        "first_name": "RANDY",
        "middle_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 37163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.