Individual provider Active NPI

Randall E Sellers, MD

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1558352138
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2013-0672 Issued in NM
Practice address
4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857
Phone
(505) 332-6900
Fax
(505) 332-6921
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD 019240 LA
Diagnostic Radiology Physician 2085R0202X 18340 MS
Diagnostic Radiology Physician 2085R0202X MD2013-0672 NM Primary

Addresses

Primary practice location

4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857

Mailing address

4411 The 25 Way NE Ste 150
Albuquerque, NM 87109-5888
Phone (505) 332-6900

Other practice location 1

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Other identifiers 4

IdentifierTypeStateIssuer
00113321MedicaidMS
300054356OtherRR MEDICARE
1962945MedicaidLA
46678735MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NM, TN, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20071120000556 LA Practitioner - Diagnostic Radiology 2961450085 Reassigns benefits to 2 organizations
I20131031000614 NM Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2961450085 Reassigns benefits to 2 organizations
I20230227001073 TN Practitioner - Diagnostic Radiology 2961450085 Reassigns benefits to 1 organization
I20230608000379 GA Practitioner - Diagnostic Radiology 2961450085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Radiology Services PLLCGroup PAC ID 1759364946, 50 clinicians
Diagnostic Imaging Consultants IncGroup PAC ID 7618949520, 15 clinicians

Practice addresses (Care Compare)

14163 Defries Rd
Folsom, LA 70437-3004
Phone (601) 288-7000

2051 Hamill Rd
Hixson, TN 37343-6614
Phone (423) 495-7100

4700 Battlefield Pkwy
Ringgold, GA 30736-5166
Phone (866) 730-5619

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078
  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236
  • Wayne General Hospital Hospital, Waynesboro, MS, CCN 250077
  • Highland Community Hospital Hospital, Picayune, MS, CCN 250117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 019240LAMDDiagnostic Radiology Physician
MD2013-0672NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2013 Accepting new patients
Diagnostic Imaging Consultants Inc Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
CHI Memorial Hospital - Georgia CurrentSince Feb 1, 2023 Accepting new patients
Northshore Imaging Assoc LLC Diagnostic Radiology PastSince Jan 5, 2005 Accepting new patients
Memorial Health Care System, Inc. Past Accepting new patients

Locations

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

4700 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8000

4700 Battlefield Pkwy
Ste 100
Ringgold, GA 30736
Phone (706) 806-0170

2400 Unser Blvd SE
Ste 29200
Albuquerque, NM 87124

4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

400 Berywood Trl NW
Ste A
Cleveland, TN 37312
Phone (423) 697-3560

6401 Mountain View Rd
Ooltewah, TN 37363

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14399/brand/2/csg/1/fhir/r4

Organizations & group practices 7

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 6

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1558352138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 THE 25 WAY NE STE 150",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095888",
            "telephone_number": "505-332-6900",
            "fax_number": "505-332-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 THE 25 WAY NE",
            "address_2": "SUITE 150",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095857",
            "telephone_number": "505-332-6900",
            "fax_number": "505-332-6921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-264-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "RANDALL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD 019240",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "18340",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2013-0672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00113321",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300054356",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962945",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46678735",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.