Active NPI
Randall Paul Maydew, MD
- Anesthesiology Physician
- Golden, CO
National Provider Identifier
1255350757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- J0589
- Practice address
- 1819 Denver West Dr # 26-200
Golden, CO 80401-3118 - Phone
- (303) 422-9438
- NPI assigned
- Jul 18, 2006
- Last updated
- May 18, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | J0589 | TX | Primary |
Addresses
Primary practice location
1819 Denver West Dr # 26-200
Golden, CO 80401-3118
Mailing address
3400 Welborn St
#420
Dallas, TX 75219-5201
Phone (469) 964-0807
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33605 | Medicaid | TX | |
| 052955402 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Nephrology Associates | Past | Accepting new patients | |
| Randall P. Maydew, M.D. | Anesthesiology | Past | Accepting new patients |
| Anesthesia Specialists of Albuquerque | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1083826408
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1831104215
-
dba Dallas Nephrology Associates Vascular Center Dallas
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1053634030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211068800000",
"number": "1255350757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 WELBORN ST",
"address_2": "#420",
"city": "DALLAS",
"state": "TX",
"postal_code": "752195201",
"telephone_number": "469-964-0807",
"fax_number": "214-363-7036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 DENVER WEST DR # 26-200",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804013118",
"telephone_number": "303-422-9438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYDEW",
"first_name": "RANDALL",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2008-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "J0589",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33605",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052955402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.