NPIMap

Individual provider Active NPI

Randal G Worth, DO

  • Internal Medicine Physician
  • Largo, FL
National Provider Identifier
1023007028
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS5801 Issued in FL
Practice address
13644 Walsingham Rd
Largo, FL 33774-3532
Phone
(727) 595-2519
Fax
(727) 595-3872
NPI assigned
Oct 21, 2005
Last updated
Mar 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS5801 FL Primary

Addresses

Primary practice location

13644 Walsingham Rd
Largo, FL 33774-3532

Mailing address

13644 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 595-2519

Other identifiers 10

IdentifierTypeStateIssuer
591273247OtherUHC EMPIRE PLAN
3020563OtherCIGNA PPO/HMO, OPEN ACCESS AND GREATWEST
80386OtherFLOUT OF STATE BLUE CROSS BLUE SHIELD
1239864OtherUNITED HEALTHCARE COMMERCIAL AND MEDICARE PLANS
212796OtherAVMED
063927300MedicaidFL
80386OtherFLBCBS BLUE CARE, ADVANTAGE 65 SELECT, MEDICARE PPO/HMO, GO BLUE
110083302OtherRAILROAD MEDICARE
80386OtherFLBLUE OPTIONS, BLUE CHOICE, FEDERAL, FLORIDA STATE, AND TRADITIONAL BCBS
602940OtherMAIL HANDLERS BENEFIT PLAN (MHBP)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000330 FL Practitioner - Internal Medicine 9638279367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suncoast Internal Medicine Consultants, P.aGroup PAC ID 4981679677, 4 clinicians

Practice addresses (Care Compare)

13644 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 595-2519

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5801FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Internal Medicine Consultants, P.a. Internal Medicine CurrentSince Jan 10, 1990 Accepting new patients
Sun Coast Hospital Inc Past Accepting new patients
Largo Physician Group, LLC PastSince Nov 4, 2012 Accepting new patients

Locations

13644 Washington Rd
Largo, FL 33774
Phone (727) 595-2519

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEBBA/Endpoint/HIEBBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1023007028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13644 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743532",
            "telephone_number": "727-595-2519",
            "fax_number": "727-595-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13644 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743532",
            "telephone_number": "727-595-2519",
            "fax_number": "727-595-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTH",
        "first_name": "RANDAL",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS5801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC EMPIRE PLAN",
            "identifier": "591273247",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO/HMO, OPEN ACCESS AND GREATWEST",
            "identifier": "3020563",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT OF STATE BLUE CROSS BLUE SHIELD",
            "identifier": "80386",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE COMMERCIAL AND MEDICARE PLANS",
            "identifier": "1239864",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "212796",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063927300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE CARE, ADVANTAGE 65 SELECT, MEDICARE PPO/HMO, GO BLUE",
            "identifier": "80386",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110083302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE OPTIONS, BLUE CHOICE, FEDERAL, FLORIDA STATE, AND TRADITIONAL BCBS",
            "identifier": "80386",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIL HANDLERS BENEFIT PLAN (MHBP)",
            "identifier": "602940",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.