Individual provider Active NPI

Randyl Erik Gessel, PA-C

  • Physician Assistant
  • Frederick, MD
National Provider Identifier
1124285184
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C04452 Issued in MD
Practice address
1100 W Patrick St Ste H
Frederick, MD 21703-3974
Phone
(301) 662-6478
Fax
(301) 662-6427
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01342 WV
Physician Assistant 363A00000X C04452 MD Primary

Addresses

Primary practice location

1100 W Patrick St Ste H
Frederick, MD 21703-3974

Mailing address

1100 W Patrick St Ste H
Frederick, MD 21703-3974
Phone (301) 662-6478

Other practice location 1

1219 National Hwy
Lavale, MD 21502-7602
Phone (301) 729-0529

Other identifiers 2

IdentifierTypeStateIssuer
01342OtherWVLICENSE
C04452OtherMDLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, DC, MD, PA, VA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20090925000607 WV Practitioner - Physician Assistant 7113073578 Reassigns benefits to 1 organization
I20150206000640 DC Practitioner - Physician Assistant 7113073578 Reassigns benefits to 1 organization
I20150304000733 MD Practitioner - Physician Assistant 7113073578 Reassigns benefits to 3 organizations
I20180925000181 PA Practitioner - Physician Assistant 7113073578 Reassigns benefits to 1 organization
I20181217000058 VA Practitioner - Physician Assistant 7113073578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeside Med, LLCGroup PAC ID 3476982901, 4 clinicians

Practice addresses (Care Compare)

723 N Market St
Suite 207
Frederick, MD 21701-5232
Phone (240) 397-6723

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Westminster, MD, CCN 217048
  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Home Call Home health agency, Frederick, MD, CCN 217040
  • Bayada Home Health Care, Inc Home health agency, Gaithersburg, MD, CCN 217158
  • Frederick Health Hospice Hospice, Frederick, MD, CCN 211516
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14333MNMDPhysical Therapist
C04452MDMDPhysician Assistant
01342WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Maryland CurrentSince Aug 29, 2018 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Aug 29, 2018 Accepting new patients
CRH MD Management LLC CurrentSince Feb 21, 2025 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Aug 29, 2018 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Aug 29, 2018 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Aug 29, 2018 Accepting new patients
Medexpress Urgent Care, PC - Maryland Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Eucentrics Urgent Care and Wellness Center Past Accepting new patients
Samuel D Morris Past Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

1741 Dual Hwy
Ste A
Hagerstown, MD 21740
Phone (301) 790-0254

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

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

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1124285184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W PATRICK ST STE H",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033974",
            "telephone_number": "301-662-6478",
            "fax_number": "301-662-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W PATRICK ST STE H",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033974",
            "telephone_number": "301-662-6478",
            "fax_number": "301-662-6427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 National Hwy",
            "address_purpose": "LOCATION",
            "city": "Lavale",
            "state": "MD",
            "postal_code": "215027602",
            "country_code": "US",
            "telephone_number": "301-729-0529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GESSEL",
        "first_name": "RANDYL",
        "middle_name": "ERIK",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01342",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01342",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C04452",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.