Individual provider Active NPI

J Randall Farrar, MD

  • Specialist
  • Richland, WA
National Provider Identifier
1689769085
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00031441 Issued in WA
Practice address
1215 George Washington Way
Richland, WA 99352-3442
Phone
(509) 946-1004
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD00031441 WA
Specialist 174400000X MD00031441 WA Primary

Addresses

Primary practice location

1215 George Washington Way
Richland, WA 99352-3442

Mailing address

PO Box 160
Richland, WA 99352-0160
Phone (509) 946-1004

Other identifiers 3

IdentifierTypeStateIssuer
11014944OtherWARAIL ROAD MEDICARE
1101799MedicaidWA
154834286OtherWAGROUP HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050630001051 WA Practitioner - Cardiovascular Disease (Cardiology) 1658317599 Reassigns benefits to 2 organizations
Practice locations: Richland, WA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Northeastern Ohio University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

1050 Gillmore Ave
Suite a
Richland, WA 99352-3305
Phone (509) 946-1004

1135 Jadwin Ave
Richland, WA 99352-3434
Phone (509) 942-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00031441WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Jul 3, 2012 Accepting new patients
Kadlec Regional Medical Center CurrentSince Jul 3, 2012 Accepting new patients
Prosser Public Hospital District of Benton County Specialist CurrentSince May 1, 2013 Accepting new patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince May 1, 2013 Accepting new patients
Kadlec Regional Medical Center Current Accepting new patients
Physicians Immediate Care & Medical Centers, P.S. PastSince Jan 21, 2024 Accepting new patients
J. Randall Farrar, MD PastSince Jan 1, 1990 Accepting new patients

Locations

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

1155 Jadwin Ave
Richland, WA 99352
Phone (509) 585-8983

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1689769085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993520160",
            "telephone_number": "509-946-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GEORGE WASHINGTON WAY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523442",
            "telephone_number": "509-946-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "J",
        "middle_name": "RANDALL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00031441",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00031441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "11014944",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101799",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "154834286",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.