Active NPI
Patricia Randolph, PH.D
- Audiologist
- Silver Spring, MD
National Provider Identifier
1154489128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00831
- Practice address
- 11120 New Hampshire Ave Ste 504
Silver Spring, MD 20904-2618 - Phone
- (301) 593-3200
- Fax
- (301) 593-3900
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00831 | MD | Primary |
Addresses
Primary practice location
11120 New Hampshire Ave Ste 504
Silver Spring, MD 20904-2618
Mailing address
PO Box 10614
Silver Spring, MD 20914-0614
Phone (301) 593-3200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00281897 | Other | MD | MEDICARE RAILROAD |
| 3973773 | Other | MD | AETNA |
| 5016973 | Other | MD | CIGNA |
| K098 0001 | Other | MD | CAREFIRST BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11120 New Hampshire Ave
Suite 504
Silver Spring, MD 20904-2618
Phone (301) 593-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Audiology Services, LLC | Audiologist | Current | Accepting new patients |
| Patricia Randolph, PH.D., CCC-a | Audiologist | Past | Accepting new patients |
Locations
106 Irving St NW
Ofc
Washington, DC 20010
Phone (202) 877-6000
11120 New Hampshire Ave
Ste 504
Silver Spring, MD 20904
Phone (301) 593-3200
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.
-
- Audiologist
- Silver Spring, MD
- NPI 1932379047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154489128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10614",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209140614",
"telephone_number": "301-593-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 NEW HAMPSHIRE AVE STE 504",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042618",
"telephone_number": "301-593-3200",
"fax_number": "301-593-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "00831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00281897",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3973773",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5016973",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "K098 0001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.