Individual provider Active NPI

Richard R Randall, MD

  • Surgery Physician
  • Huntsville, AL
National Provider Identifier
1326029679
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20661 Issued in AL
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000096070MedicaidAL
51096070OtherALBLUE CROSS
631247522OtherTAX ID
0005671483OtherAETNA
020046829OtherRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion126
Colonoscopy1-10
Hernia repair - groin (open)16
Hernia repair (minimally invasive)15
Mastectomy49
Melanoma (skin cancer) excision66
Skin biopsy1-10

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.

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

Verify at the official NPI Registry.