Individual provider Active NPI

Randall L Beckman, DPM

  • Podiatrist
  • Houston, TX
National Provider Identifier
1609846328
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1536 Issued in TX
Practice address
9055 Katy Fwy
#460
Houston, TX 77024-1697
Phone
(713) 461-1010
Fax
(713) 973-7200
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1536 TX
Podiatrist 213E00000X 1536 TX Primary

Addresses

Primary practice location

9055 Katy Fwy
#460
Houston, TX 77024-1697

Mailing address

9055 Katy Fwy
#460
Houston, TX 77024-1697
Phone (713) 461-1010

Other identifiers 6

IdentifierTypeStateIssuer
143488804MedicaidTX
7271253OtherAETNA
8F2200OtherBCBS
DD3133OtherPALMETTO GBA RAILROAD MEDICARE
480033637OtherRAILROAD MEDICARE
143488803MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050615000977 TX Practitioner - Podiatry 5890739320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1536TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mfa Health Houston PLLC Podiatrist CurrentSince Jul 1, 2025 Accepting new patients
Moore Foot and Ankle Specialists PA Podiatrist CurrentSince Dec 1, 2024 Accepting new patients

Locations

12300 Dundee Ct
Ste 213
Cypress, TX 77429
Phone (281) 256-4414

9055 Katy Fwy
Ste 460
Houston, TX 77024
Phone (713) 461-1010

11161 Shadow Creek Pkwy
Ste 220
Pearland, TX 77584
Phone (281) 657-1490

2616 FM 2920 Rd
Ste N
Spring, TX 77388
Phone (281) 444-6300

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1609846328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY",
            "address_2": "#460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241697",
            "telephone_number": "713-461-1010",
            "fax_number": "713-973-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY",
            "address_2": "#460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241697",
            "telephone_number": "713-461-1010",
            "fax_number": "713-973-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "RANDALL",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1536",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143488804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7271253",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F2200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "DD3133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033637",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143488803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.