Active NPI
David M. Randolph, M.D.
- Radiation Oncology Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 0101 036962
- Practice address
- 5900 Lake Wright Dr Ste B
Norfolk, VA 23502-1871 - Phone
- (757) 213-5770
- Fax
- (757) 627-0334
- NPI assigned
- Apr 25, 2006
- Last updated
- Apr 7, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 0101 036962 | VA | Primary |
Addresses
Primary practice location
5900 Lake Wright Dr Ste B
Norfolk, VA 23502-1871
Mailing address
PO Box 936
Norfolk, VA 23501-0936
Phone (757) 213-5770
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10035953 | Other | VA | SENTARA/OPTIMA |
| PAR | Other | VA | USA MANAGED CARE |
| PAR | Other | VA | VIRGINIA PREMIER HEALTH |
| 6181967 | Other | VA | UHC/MAMSI |
| PAR | Other | VA | CORVEL/CORCARE |
| PAR | Other | VA | MULTIPLAN |
| PAR | Other | VA | TRICARE/CHAMPUS |
| 10259 | Other | NC | BC/BS |
| 1447216866 | Medicaid | VA | |
| PAR | Other | VA | AETNA |
| 5910259 | Medicaid | NC | |
| 9841062 | Other | VA | CIGNA |
| PAR | Other | VA | VA HEALTH NETWORK |
| PAR | Other | VA | FIRST HEALTH COMMERICAL |
| 359100 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Eastern Virginia Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 483-5164
7607 Forest Ave
Suite 100
Richmond, VA 23229-4913
Phone (804) 287-4340
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 89.3
- Improvement activities
- 40
- Cost
- 78.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101 036962 | VA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Radiation Oncology Associates, Inc | Radiation Oncology | Current | Accepting new patients |
| Virginia Urology Center | Past | Accepting new patients | |
| Evms Academic Physicians and Surgeons Health Services Foundation | Radiation Oncology | Past | Accepting new patients |
| Oncology and Hematology Associates of Southwest Virginia, Inc. | Radiation Oncology | Past | Accepting new patients |
| HCA Health Services of Virginia, Inc. | Past | Accepting new patients |
Locations
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
801 S Adams St
Petersburg, VA 23803
Phone (804) 862-5000
5711 Staples Mill Rd
Richmond, VA 23228
Phone (804) 266-7762
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
7603 Forest Ave
Ste 106
Richmond, VA 23229
Phone (804) 200-7031
7607 Forest Ave
Ste 100
Richmond, VA 23229
Phone (804) 287-4340
9105 Stony Point Dr
Richmond, VA 23235
Phone (804) 287-6100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiation Oncology Physician
- Richmond, VA
- NPI 1154438570
-
dba EVMS Medical Group
- Radiation Oncology Physician
- Norfolk, VA
- NPI 1225282569
-
dba Henrico Doctors' Hospital
- Electrodiagnostic Medicine Physician
- Richmond, VA
- NPI 1750768131
-
dba Blue Ridge Cancer Care
- Hematology & Oncology Physician
- Roanoke, VA
- NPI 1487621496
Radiation Oncology
-
- Urology Physician
- Richmond, VA
- NPI 1164485876
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CJW Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
-
dba Henrico Doctors' Hospital
- General Acute Care Hospital
- Richmond, VA
- NPI 1194762294
-
dba Medical College of Virginia Hospitals
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
dba VCU Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1447216866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235010936",
"telephone_number": "757-213-5770",
"fax_number": "757-627-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 LAKE WRIGHT DR STE B",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235021871",
"telephone_number": "757-213-5770",
"fax_number": "757-627-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "DAVID",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "VA",
"license": "0101 036962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA",
"identifier": "10035953",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/MAMSI",
"identifier": "6181967",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL/CORCARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "10259",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447216866",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5910259",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9841062",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA HEALTH NETWORK",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH COMMERICAL",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "359100",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.