Individual provider Active NPI

Randall Mark Fox, MD

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Boynton Beach, FL
National Provider Identifier
1477553550
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X
License
ME110363 Issued in FL
Practice address
1901 S Congress Ave Ste 420
Boynton Beach, FL 33426-6588
Phone
(561) 364-1479
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician 207VH0002X ME110363 FL Primary

Addresses

Primary practice location

1901 S Congress Ave Ste 420
Boynton Beach, FL 33426-6588

Mailing address

2650 Lake Shore Dr Unit 1404
Riviera Beach, FL 33404-4611
Phone (561) 612-0974

Other practice location 1

5300 East Ave
West Palm Beach, FL 33407-2387
Phone (561) 848-5200

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
I20130524000472 FL Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 7719125152

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Palm Beach County, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1477553550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 LAKE SHORE DR UNIT 1404",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334044611",
            "telephone_number": "561-612-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CONGRESS AVE STE 420",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266588",
            "telephone_number": "561-364-1479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 East Ave",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072387",
            "country_code": "US",
            "telephone_number": "561-848-5200",
            "fax_number": "561-863-2806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "RANDALL",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME110363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.