Active NPI
Richard R Randall, MD
- Surgery Physician
- Huntsville, AL
National Provider Identifier
1326029679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20661
- Practice address
- 401 Lowell Dr SE
Suite 10
Huntsville, AL 35801-3748 - Phone
- (256) 535-5948
- Fax
- (256) 535-5951
- NPI assigned
- Nov 11, 2005
- Last updated
- Dec 14, 2009
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20661 | AL | Primary |
Addresses
Primary practice location
401 Lowell Dr SE
Suite 10
Huntsville, AL 35801-3748
Mailing address
420 Lowell Dr SE
Suite 103
Huntsville, AL 35801-3754
Phone (256) 535-5940
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000096070 | Medicaid | AL | |
| 51096070 | Other | AL | BLUE CROSS |
| 631247522 | Other | TAX ID | |
| 0005671483 | Other | AETNA | |
| 020046829 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100709000480 | AL | Practitioner - General Surgery | 5294867222 | Practice locations: Huntsville, AL |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Alabama School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
401 Lowell Dr SE
Suite 10
Huntsville, AL 35801-3738
Phone (256) 535-5948
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.84 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 82.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 126 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 16 |
| Hernia repair (minimally invasive) | 15 |
| Mastectomy | 49 |
| Melanoma (skin cancer) excision | 66 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Crestwood Medical Center
- General Acute Care Hospital
- Huntsville, AL
- NPI 1023061496
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1326029679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 LOWELL DR SE",
"address_2": "SUITE 103",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013754",
"telephone_number": "256-535-5940",
"fax_number": "256-535-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 LOWELL DR SE",
"address_2": "SUITE 10",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013748",
"telephone_number": "256-535-5948",
"fax_number": "256-535-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "RICHARD",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "20661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000096070",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51096070",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "631247522",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005671483",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020046829",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.