Active NPI
Taylor Leigh Randell, MD
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1437892270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- BP10078876
- Practice address
- 4900 Mueller Blvd Ste 3K.032
Austin, TX 78723-3051 - Phone
- (512) 324-0067
- NPI assigned
- Apr 19, 2022
- Last updated
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP10078876 | TX | Primary |
Addresses
Primary practice location
4900 Mueller Blvd Ste 3K.032
Austin, TX 78723-3051
Mailing address
4900 Mueller Blvd Ste 3K.032
Austin, TX 78723-3051
Phone (512) 324-0067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20240418000521 | TX | Order and Referring Only - Pediatric Medicine | 1759720147 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Pediatrics | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1437892270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 MUELLER BLVD STE 3K.032",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233051",
"telephone_number": "512-324-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MUELLER BLVD STE 3K.032",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233051",
"telephone_number": "512-324-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDELL",
"first_name": "TAYLOR",
"middle_name": "LEIGH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP10078876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Randalls Food & Drugs LP (Randalls Pharmacy #2475)
- Randalls Food & Drugs LP (Randalls Pharmacy # 2482)
- Randalls Food & Drugs LP (Randalls Pharmacy #2987)
- Randalls Food & Drugs LP (Randalls Pharmacy #2473)
- Randalls Food & Drugs LP (Randalls Pharmacy #1850)
- Markasia Randle
- Connie Randolph, LAC.
- Randy L. Lisch, DPM, P.a.
- Nishigandha Rane, MD
- Poonam Rane, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.