NPIMap

Individual provider Active NPI

Randolph Claude Sosolik, M. D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Wichita Falls, TX
National Provider Identifier
1528043585
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
M2124 Issued in TX
Practice address
1209 Brook Ave
Wichita Falls, TX 76301-5601
Phone
(940) 322-7284
Fax
(940) 322-8938
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X M2124 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M2124 TX Primary

Addresses

Primary practice location

1209 Brook Ave
Wichita Falls, TX 76301-5601

Mailing address

1107 Brook Ave
Wichita Falls, TX 76301-5008
Phone (940) 322-8800

Other identifiers 1

IdentifierTypeStateIssuer
8S9310OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140115001836 MI Practitioner - PathologyPractitioner - Hematology 8628002532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Hematology
Education
University of Texas Medical School at San Antonio, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midland Pathology Associates PCGroup PAC ID 6901831544, 3 clinicians

Practice addresses (Care Compare)

300 E Warwick Dr
Mid Michigan Medical Center Gratiot
Alma, MI 48801-1014
Phone (989) 463-1101

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030
  • Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036
  • Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as group
Quality
86.84
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2124TXMDHematology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Pathology Associates, PC Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2014 Accepting new patients
Mymichigan Medical Center Midland PastSince Dec 3, 2025 Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

5700 Southwyck Blvd
Toledo, OH 43614

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mymichigan Medical Center MidlandMidland, MI, CCN 230222 Hospital W-2 Managing Employee Jan 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 10

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1528043585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015008",
            "telephone_number": "940-322-8800",
            "fax_number": "940-322-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015601",
            "telephone_number": "940-322-7284",
            "fax_number": "940-322-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSOLIK",
        "first_name": "RANDOLPH",
        "middle_name": "CLAUDE",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "TX",
            "license": "M2124",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M2124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8S9310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.