Gary Milton Randall, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

006034 Issued in AZ

Practice address

4135 S Power Rd Ste 120
Mesa, AZ 85212-3626

Phone

(480) 892-7000

Fax

(480) 545-7001

NPI assigned

Aug 3, 2006

Reactivated

Jun 6, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Belief Hospice Hospice, Mesa, AZ, CCN 031799
• Empress Care Hospice, Inc Hospice, Mesa, AZ, CCN 031760

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

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

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.

• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505

  AZ, Family Medicine

  Medicare reassignment NPD
• Feelwell Primary Care Inc

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1962200196

  Family Medicine

  NPD
• Surgical Professionals, Inc

  • Surgery Physician
  • Mesa, AZ
  • NPI 1982629978
  NPD
• GCR Integrated Health PLLC

  • Multi-Specialty Clinic/Center
  • Southlake, TX
  • NPI 1730664657
  NPD
• Deseret Family Medicine at Greenfield PLC

  • Primary Care Clinic/Center
  • Mesa, AZ
  • NPI 1619620200
  NPD (past)
• East Valley Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1619228335
  NPD (past)
• East Valley Urgent Care, LLC

  • Urgent Care Clinic/Center
  • San Tan Valley, AZ
  • NPI 1649515347
  NPD (past)
• East Valley Urgent Care,LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1235481128
  NPD (past)
• East Valley Urgent Care,LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1710222419
  NPD (past)
• Medwell LLC

  • Pain Medicine Physician
  • Gilbert, AZ
  • NPI 1356756936
  NPD (past)
• Camino Real Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Livingston, TX
  • NPI 1992871966
  NPD (past)
• Complete Health Medical Center PLLC

  • General Practice Physician
  • Waxahachie, TX
  • NPI 1174080212
  NPD (past)

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

• Belief Hospice LLC.

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1366110256

  Hospice

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1194733733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123626",
            "telephone_number": "480-892-7000",
            "fax_number": "480-545-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123626",
            "telephone_number": "480-892-7000",
            "fax_number": "480-545-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "GARY",
        "middle_name": "MILTON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "deactivation_date": "2019-05-20",
        "reactivation_date": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "832035",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z309508",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Elizabeth Rand
• Samantha Lee Randahl, NMD
• Randall C. Bretzing
• Randall K Tozer MD PC
• Darcel Randall, FNP-C
• Nick Randall, DMD
• Randi Gray Counseling
• Ann Michele Randolph
• Alyssa Jean Raney, SLP-A/L
• Michael James Rangel, PHARMD

• All providers in Mesa, AZ
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.