NPIMap

Organization Active NPI

Randall Hile MD PC

  • Internal Medicine Physician
  • Lowell, IN
National Provider Identifier
1497788608
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01030234A Issued in IN
Legal business name
RANDALL HILE MD PC
Doing business as
Randall Hile MD PC
Practice address
1020 E Commercial Ave
Lowell, IN 46356-2310
Phone
(219) 696-3052
Fax
(219) 696-4629
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Randall Lee Hile, M.D.NPI 1861425068
Title
Physician
Phone
(219) 696-0779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 01030234A IN Primary

Addresses

Primary practice location

1020 E Commercial Ave
Lowell, IN 46356-2310

Mailing address

6105 W 177TH Ave
Lowell, IN 46356-1971
Phone (219) 696-0779

Other identifiers 3

IdentifierTypeStateIssuer
200900500MedicaidIN
000000085930OtherINBLUE CROSS BLUE SHIELD
110007891OtherINRAILROAD MEDICARE

Other names 1

  • Randall Hile MD PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1497788608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 W 177TH AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463561971",
            "telephone_number": "219-696-0779",
            "fax_number": "219-696-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E COMMERCIAL AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562310",
            "telephone_number": "219-696-3052",
            "fax_number": "219-696-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL HILE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "HILE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "219-696-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01030234A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200900500",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000085930",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110007891",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randall Hile MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.