Individual provider Active NPI

Randall Albert Riegler, M.D.

  • Otolaryngology Physician
  • Jacksonville, FL
National Provider Identifier
1467413120
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME0050465 Issued in FL
Practice address
8614 Baymeadows Way
Suite 101
Jacksonville, FL 32256-8236
Phone
(904) 448-4640
Fax
(904) 448-7120
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME0050465 FL Primary

Addresses

Primary practice location

8614 Baymeadows Way
Suite 101
Jacksonville, FL 32256-8236

Mailing address

8614 Baymeadows Way
Jacksonville, FL 32256-8236
Phone (904) 448-4640

Other identifiers 1

IdentifierTypeStateIssuer
046935100MedicaidFL

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
I20051115000363 FL Practitioner - Otolaryngology 0547289910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Louisville School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8614 Baymeadows Way
Suite 101
Jacksonville, FL 32256-8236
Phone (904) 448-4640

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0050465FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Randall a Riegler MD PA Otolaryngology CurrentSince Apr 6, 1987 Accepting new patients

Locations

8515 Baymeadows Way
Ste 301
Jacksonville, FL 32256

8614 Baymeadows Way
#101
Jacksonville, FL 32256
Phone (904) 448-4640

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1467413120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 BAYMEADOWS WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568236",
            "telephone_number": "904-448-4640",
            "fax_number": "904-448-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 BAYMEADOWS WAY",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568236",
            "telephone_number": "904-448-4640",
            "fax_number": "904-448-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEGLER",
        "first_name": "RANDALL",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME0050465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046935100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.