NPIMap

Individual provider Active NPI

Randall S Henry, MD

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1265405070
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD036702E Issued in PA
Practice address
200 Lothrop St
Room 3950 CHP CMT
Pittsburgh, PA 15213-2546
Phone
(412) 647-3553
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD036702E PA Primary

Addresses

Primary practice location

200 Lothrop St
Room 3950 CHP CMT
Pittsburgh, PA 15213-2546

Mailing address

200 Lothrop St
Room 3950 CHP CMT
Pittsburgh, PA 15213-2546
Phone (412) 647-3553

Other practice location 1

401 Liberty Ave Ste 2000
Pittsburgh, PA 15222-1029
Phone (412) 230-8200

Other identifiers 1

IdentifierTypeStateIssuer
001239860MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014000152 PA Practitioner - Diagnostic Radiology 7012977010 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211

255 Route 220 Hwy
Muncy, PA 17756-7569
Phone (570) 308-2600

Hospital & facility affiliations

  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD036702EPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jun 17, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology Current Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jun 17, 2024 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Jun 17, 2024 Accepting new patients
Geisinger Clinic CurrentSince Jun 17, 2024 Accepting new patients
North Hills Hospitalist Services, Inc. Past Accepting new patients
Unity Pathology Associates Past Accepting new patients
Excela RCL Pet CT Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

100 N Academy Ave
Danville, PA 17822

2500 W 12th St
Erie, PA 16505
Phone (814) 838-9000

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

401 Liberty Ave
Ste 2000
Pittsburgh, PA 15222
Phone (412) 325-2800

Organizations & group practices 10

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1265405070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "ROOM 3950 CHP CMT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132546",
            "telephone_number": "412-647-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "ROOM 3950 CHP CMT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132546",
            "telephone_number": "412-647-3553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Liberty Ave Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152221029",
            "country_code": "US",
            "telephone_number": "412-230-8200",
            "fax_number": "412-230-8215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "RANDALL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD036702E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001239860",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.