John D Randolph, M.D.

Key facts

NPI

1629065636

Entity type

Individual (NPI type 1)

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X

License

13800 (OK)

Practice address

4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382

Phone

(405) 608-3800

Fax

(405) 608-3830

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 4

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.

• Ohh Physicians, LLC Cardiovascular Disease Physician · Oklahoma City, OK · NPI 1023087772
  Medicare reassignment Care Compare group NPD OK
• Jackson County Memorial Hospital Authority General Acute Care Hospital · Altus, OK · NPI 1093763781
  NPD (past)
• Oklahoma Heart Hospital, LLC General Acute Care Hospital · Oklahoma City, OK · NPI 1083617005
  NPD (past)
• Frances Mahon Deaconess Hospital Critical Access Hospital · Glasgow, MT · NPI 1689685323
  NPD (past)

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Genesis Healthcare, LLC Home Health Agency · Durant, OK · NPI 1407202740
  Care Compare affiliation Home health agency
• Lifeline Home Health Care, Inc Home Health Agency · Chickasha, OK · NPI 1982609962
  Care Compare affiliation Home health agency
• Mercy Hospital Ardmore, Inc. General Acute Care Hospital · Ardmore, OK · NPI 1386741635
  Care Compare affiliation Hospital
• Oklahoma Heart Hospital South LLC General Acute Care Hospital · Oklahoma City, OK · NPI 1841442274
  Care Compare affiliation Hospital
• Oklahoma Heart Hospital, LLC General Acute Care Hospital · Oklahoma City, OK · NPI 1083617005
  Care Compare affiliation Hospital
• Stillwater Medical Center Authority General Acute Care Hospital · Stillwater, OK · NPI 1164494027
  Care Compare affiliation Hospital
• Uhs of Oklahoma, LLC General Acute Care Hospital · Enid, OK · NPI 1417947466
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Thoracic Surgery
Also: General Surgery

Education

University of Oklahoma College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohh Physicians LLC (132 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Home Health Care, Inc Home health agency · Chickasha, OK · CCN 377524
• Centric Home Health Home health agency · Durant, OK · CCN 377791
• Oklahoma Heart Hospital, LLC Hospital · Oklahoma City, OK · CCN 370215
• Oklahoma Heart Hospital South, LLC Hospital · Oklahoma City, OK · CCN 370234
• St Mary'S Regional Medical Center Hospital · Enid, OK · CCN 370026
• Mercy Hospital Ardmore, Inc Hospital · Ardmore, OK · CCN 370047
• Stillwater Medical Center Hospital · Stillwater, OK · CCN 370049

Merit-based Incentive Payment System (MIPS)

Final score

83.69 of 100 (group)

Quality

73.03

Promoting interoperability

100

Improvement activities

40

Cost

72.6

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
• Direct secure messaging: jrandolph22143@direct.okheart.com
• FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 6, 2022.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1629065636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD FL 3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "13800",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OK",
            "license": "13800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "330004147",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100824280B",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrandolph@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4050 W Memorial Rd Fl 3",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731208382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

• Julie A Randle
• Marcia Randle, M.A.
• Raymond Randle
• Gerri Renae Randolph, BHRS
• Jeri L Randolph
• Randy W. Atkinson, D.D.S., P.C.
• Austin Wayne Raney
• Brasen Cade Raney
• Garland Lynn Raney, BA
• Megan Raney, PHARM D

All providers in Oklahoma City, OK · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Oklahoma