Individual provider Active NPI

Randall Richard Draper, MD

  • Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1477553766
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M0051373L Issued in PA
Practice address
9104 Babcock Blvd
Suite 4110
Pittsburgh, PA 15237-5818
Phone
(412) 367-5010
Fax
(412) 367-5064
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M0051373L PA Primary

Addresses

Primary practice location

9104 Babcock Blvd
Suite 4110
Pittsburgh, PA 15237-5818

Mailing address

9104 Babcock Blvd
Suite 1103
Pittsburgh, PA 15237-5818
Phone (412) 367-5010

Other identifiers 1

IdentifierTypeStateIssuer
0015411210001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060214000519 PA Practitioner - General SurgeryPractitioner - Addiction Medicine 6901811801 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Addiction Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Specialists of Pennsylvania, LLCGroup PAC ID 0143414714, 6 clinicians

Practice addresses (Care Compare)

575 Coal Valley Rd
Suite 207
Jefferson Hills, PA 15025-3724
Phone (412) 469-7676

Hospital & facility affiliations

  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Upmc Somerset Hospital, Somerset, PA, CCN 390039

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue92
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0051373LPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Specialists of Pennsylvania, LLC Surgery CurrentSince Jul 1, 2025 Accepting new patients
University of Pittsburgh Physicians Surgery CurrentSince Feb 1, 2006 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 1, 2006 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

1000 Higbee Dr
Bethel Park, PA 15102
Phone 4128336176120

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

575 Coal Valley Rd
Jefferson Hills, PA 15025
Phone (412) 469-5715

575 Coal Valley Rd
Ste 207
Jefferson Hls, PA 15025
Phone (412) 469-7676

9104 Babcock Blvd
Ste 4110
Pittsburgh, PA 15237
Phone (412) 367-5010

9104 Babcock Blvd
Ste 1103
Pittsburgh, PA 15237
Phone (412) 367-5010

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

600 Commerce Blvd
Fl 2
Stroudsburg, PA 18360
Phone (570) 426-6810

Interoperability endpoints

  • Direct secure messaging: rdraper1052264@direct.ahn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1477553766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 1103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-367-5010",
            "fax_number": "412-367-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 4110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-367-5010",
            "fax_number": "412-367-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "RANDALL",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "M0051373L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015411210001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.