Individual provider Active NPI

Randall Ochs Krawcheck, DO

  • Surgical Critical Care Physician
  • Richmond, VA
National Provider Identifier
1609833169
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
86386 Issued in GA
Practice address
1201 Broad Rock Blvd
Surgical Service
Richmond, VA 23249-0001
Phone
(804) 675-5112
Fax
(804) 675-5390
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34007819 OH
Surgery Physician 208600000X 86386 GA
Surgical Critical Care Physician 2086S0102X 0102201567 VA
Surgical Critical Care Physician 2086S0102X 86386 GA Primary

Addresses

Primary practice location

1201 Broad Rock Blvd
Surgical Service
Richmond, VA 23249-0001

Mailing address

1201 Broad Rock Blvd
Surgical Service
Richmond, VA 23249-0001
Phone (804) 675-5112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, LA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200522000648 GA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 1759378334 Reassigns benefits to 3 organizations
I20251210004123 LA Practitioner - Internal Medicine 1759378334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Cameron Hospital Medicine Group LLCGroup PAC ID 1557688421, 66 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 649-6600

1800 10TH Ave
Columbus, GA 31901-1529
Phone (706) 571-1120

211 4TH St
Alexandria, LA 71301-8421
Phone (484) 965-9566

701 Cypress St
Sulphur, LA 70663-5053
Phone (337) 527-7034

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1648

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86386GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Dorminy Family Care CurrentSince Jul 9, 2020 Accepting new patients
Calcasieu Cameron Hospital Medicine Group LLC CurrentSince Oct 1, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Houston Hospitalist Group LLC CurrentSince Dec 10, 2023 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Houston Hospitalist Group LLC CurrentSince Dec 10, 2023 Accepting new patients
Deaconess Hospital, Inc Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1609833169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "SURGICAL SERVICE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-5112",
            "fax_number": "804-675-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "SURGICAL SERVICE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-5112",
            "fax_number": "804-675-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWCHECK",
        "first_name": "RANDALL",
        "middle_name": "OCHS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34007819",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "86386",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "VA",
            "license": "0102201567",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "GA",
            "license": "86386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.