Individual provider Active NPI

Randall Mark Taubman

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1528049194
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME89977 Issued in FL
Practice address
3345 Burns Rd Ste 302
Palm Beach Gardens, FL 33410-4321
Phone
(561) 622-7661
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME89977 FL Primary

Addresses

Primary practice location

3345 Burns Rd Ste 302
Palm Beach Gardens, FL 33410-4321

Mailing address

PO Box 4590
Ocala, FL 34478-4590
Phone (352) 509-9900

Other practice location 1

5901 SW 74th St Ste 205
Miami, FL 33143-5150
Phone (305) 666-8691

Other practice location 2

9635 SW 181st Ter
Palmetto Bay, FL 33157-5630
Phone (305) 238-8561

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
I20050321000533 FL Practitioner - Internal Medicine 8628069218 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albany Medical College of Union University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians

Practice addresses (Care Compare)

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

5360 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 495-9266

9655 Boynton Beach Blvd
Boynton Beach, FL 33472-4421
Phone (561) 336-7000

Hospital & facility affiliations

  • USA Home Health Services, Inc. Home health agency, Delray Beach, FL, CCN 107785
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME89977FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine Current Accepting new patients
West Palm Beach Physician Group Inc CurrentSince May 1, 2020 Accepting new patients
South Dade Primary Care, LLC CurrentSince Aug 1, 2021 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Jan 1, 2023 Accepting new patients
Joseph Thevenin Jr, MD PA Internal Medicine Past Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

3476 S University Dr
Davie, FL 33328
Phone (954) 452-2107

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1000 NW 57th Ct
Ste 400
Miami, FL 33126

14750 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 485-1005

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

5901 SW 74th St
Ste 205
South Miami, FL 33143
Phone (305) 666-8691

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Organizations & group practices 9

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 2

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1528049194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4590",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344784590",
            "telephone_number": "352-509-9900",
            "fax_number": "352-387-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD STE 302",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104321",
            "telephone_number": "561-622-7661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 SW 74th St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331435150",
            "country_code": "US",
            "telephone_number": "305-666-8691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9635 SW 181st Ter",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331575630",
            "country_code": "US",
            "telephone_number": "305-238-8561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAUBMAN",
        "first_name": "RANDALL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME89977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.