Individual provider Active NPI

Ravinder Singh Randhawa, D.O.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Delray Beach, FL
National Provider Identifier
1336233204
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
OS0007402 Issued in FL
Practice address
16244 Military TRL
Suite 710
Delray Beach, FL 33484-6534
Phone
(561) 638-8505
Fax
(561) 638-8504
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X OS0007402 FL Primary

Addresses

Primary practice location

16244 Military TRL
Suite 710
Delray Beach, FL 33484-6534

Mailing address

16244 Military TRL
Suite 710
Delray Beach, FL 33484-6534
Phone (561) 638-8505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070830000408 FL Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5890709208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16244 S Military TRL
Suite 710
Delray Beach, FL 33484-6532
Phone (561) 638-8505

Hospital & facility affiliations

  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0007402FLMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi S Randhawa DO PA Plastic Surgery Within the Head & Neck CurrentSince Jun 11, 2007 Accepting new patients
Moshe E Hirth MD PA Past Accepting new patients
HP Primary Care, LLC Past Accepting new patients

Locations

16244 S Military Trl
Ste 710
Delray Beach, FL 33484
Phone (561) 638-5591

Interoperability endpoints

  • FHIR API: https://915c31a9-c72e-45b9-87e6-b62da9b7e18b.gastro.prod.fhir.ema-api.com/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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437177600000",
    "number": "1336233204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16244 MILITARY TRL",
            "address_2": "SUITE 710",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "561-638-8505",
            "fax_number": "561-638-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 MILITARY TRL",
            "address_2": "SUITE 710",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "561-638-8505",
            "fax_number": "561-638-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "RAVINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "FL",
            "license": "OS0007402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.