Individual provider Active NPI

Thomas R. Randall, M.D.

  • Emergency Medicine Physician
  • Hillsboro, OH
National Provider Identifier
1326012832
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.073247 Issued in OH
Practice address
1275 N High St
Hillsboro, OH 45133-8273
Phone
(937) 393-6140
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-073247 OH
Emergency Medicine Physician 207P00000X 35.073247 OH Primary

Addresses

Primary practice location

1275 N High St
Hillsboro, OH 45133-8273

Mailing address

968 Waynoka Dr
Lake Waynoka, OH 45171-9762
Phone (937) 446-1639

Other practice location 1

601 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8000

Other identifiers 3

IdentifierTypeStateIssuer
000000344443OtherOHANTHEM BCBS
P00190832OtherRAILROAD MEDICARE
2418155MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040927000176 OH Practitioner - Emergency MedicinePractitioner - Family Practice 5597734673 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osup Community Outreach LLCGroup PAC ID 5799008082, 147 clinicians

Practice addresses (Care Compare)

601 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8000

Hospital & facility affiliations

  • Highland District Hospital Hospital, Hillsboro, OH, CCN 361332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.073247OHMDEmergency Medicine Physician
35-073247OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Jan 16, 2015 Accepting new patients
Osup Community Outreach LLC CurrentSince Oct 29, 2023 Accepting new patients
Highland District Hospital CurrentSince Jul 5, 2018 Accepting new patients
Highland District Hospital Current Accepting new patients
Valley Emergency Physicians Ohio LLC Emergency Medicine CurrentSince Dec 1, 2011 Accepting new patients

Locations

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

Interoperability endpoints

  • FHIR API: https://epicscripts.trihealth.com/fhirproxy/api/FHIR/R4/
  • Direct secure messaging: trandall38216@direct.trihealth.com

Organizations & group practices 5

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1326012832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 WAYNOKA DR",
            "city": "LAKE WAYNOKA",
            "state": "OH",
            "postal_code": "451719762",
            "telephone_number": "937-446-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N HIGH ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338273",
            "telephone_number": "937-393-6140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 State Route 664 N",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "OH",
            "postal_code": "431388541",
            "country_code": "US",
            "telephone_number": "740-380-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-073247",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.073247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000344443",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00190832",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2418155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.