Randall L Simonsen, MD PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

H8840 Issued in TX

Practice address

1311 General Cavazos Blvd
Kingsville, TX 78363-7129

Phone

(361) 595-1661

NPI assigned

Mar 9, 2007

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 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Pathology

Education

University of Pittsburgh School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Spohn Hospital Beeville Hospital, Beeville, TX, CCN 450082
• Christus Spohn Hospital Alice Hospital, Alice, TX, CCN 450828
• Christus Spohn Hospital Kleberg Hospital, Kingsville, TX, CCN 450163
• Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Locations

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.

• Randall L Simonsen MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Kingsville, TX
  • NPI 1679818595
  Medicare reassignment NPD Authorized official
• Austin Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
  • NPI 1538172028
  Medicare reassignment

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

• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Alice, TX
  • NPI 1003885641
  Care Compare affiliation
• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Kingsville, TX
  • NPI 1093783391
  Care Compare affiliation
• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Beeville, TX
  • NPI 1447228747
  Care Compare affiliation
• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1689641680
  Care Compare affiliation

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1235261082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 CARTAGENA CT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186914",
            "telephone_number": "361-779-8813",
            "fax_number": "361-595-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 GENERAL CAVAZOS BLVD",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783637129",
            "telephone_number": "361-595-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSEN",
        "first_name": "RANDALL",
        "middle_name": "L",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "H8840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00U07W",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Kingsville, TX
• Providers in Kingsville, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.