Active NPI
Randall Barlow, DNP
- Certified Registered Nurse Anesthetist
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11026960
- Practice address
- Nmrtc, Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23703 - Phone
- (910) 382-9550
- NPI assigned
- Jul 10, 2023
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 11026960 | FL | Primary |
Addresses
Primary practice location
Nmrtc, Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23703
Mailing address
620 John Paul Jones Cir
Building 2 RM 320620
Chesapeake, VA 23708-1291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Coliseum Dr
Hampton, VA 23666-5963
Phone (757) 736-2650
Hospital & facility affiliations
- Sentara Obici Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11026960 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMG Anesthesia Specialists LLC | Current | Accepting new patients |
Locations
3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000
2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1013695998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"address_2": "BUILDING 2 RM 320620",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "237081291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NMRTC, PORTSMOUTH",
"address_2": "620 JOHN PAUL JONES CIRCLE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23703",
"telephone_number": "910-382-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARLOW",
"first_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-10",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11026960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
- Joyce Barco, CMA
- Elvira Feliciano Barcoma, NP
- Timothy Wayne Barkdoll, M.D.
- Ronniemay Phillips Barker, WHNP
- Lois-Elaine Leonard Barlow, PSY.D., ABPP, LCP
- Kimberly E. Barnard-Bracey, L.C.S.W.
- Jennifer L. Barnes, LCSW, CSAC
- Linda Carolyn Barnes, M.S., R.D.
- Suzanne Hoffman Barnes, REGISTERED DIETITIAN
- Tamera Barnett
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.