Active NPI
Randy Mel Naidoo, M.D.
- Pediatrics Physician
- Richardson, TX
National Provider Identifier
1104830033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M0506
- Practice address
- 3600 Shire Blvd
Suite 110
Richardson, TX 75082-2240 - Phone
- (469) 333-1543
- Fax
- (877) 878-9118
- NPI assigned
- Jul 28, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M0506 | TX | Primary |
Addresses
Primary practice location
3600 Shire Blvd
Suite 110
Richardson, TX 75082-2240
Mailing address
1954 Novel Dr
Garland, TX 75040-1222
Phone (424) 262-4366
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 |
|---|---|---|---|
| M0506 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Pediatrics and Wellness Center P.a. | Pediatrics | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
1650 W Rosedale St
Ste 200
Ft Worth, TX 76104
Phone (817) 877-5381
3600 Shire Blvd
Ste 110
Richardson, TX 75082
Phone (469) 333-1543
Interoperability endpoints
- docshine@sp-tx.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Richardson, TX
- NPI 1609110832
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413590400000",
"number": "1104830033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 NOVEL DR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750401222",
"telephone_number": "424-262-4366",
"fax_number": "206-339-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 SHIRE BLVD",
"address_2": "SUITE 110",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750822240",
"telephone_number": "469-333-1543",
"fax_number": "877-878-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIDOO",
"first_name": "RANDY",
"middle_name": "MEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2014-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M0506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.