Individual provider Active NPI

Randolph Ewing Lanford, MD

  • Family Medicine Physician
  • Fork Union, VA
National Provider Identifier
1720114226
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101032081 Issued in VA
Practice address
4064 James Madison Hwy
Fork Union, VA 23055
Phone
(434) 842-3244
Fax
(434) 842-1110
NPI assigned
Feb 26, 2007
Last updated
Jan 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101032081 VA Primary

Addresses

Primary practice location

4064 James Madison Hwy
Fork Union, VA 23055

Mailing address

PO Box 458
Fork Union, VA 23055
Phone (434) 842-3244

Other identifiers 1

IdentifierTypeStateIssuer
005615151MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101203000855 VA Practitioner - General Practice 3476650581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Virginia Commonwealth University, School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4064 James Madison Hwy
Fork Union, VA 23055-0458

4064 James Madison Hwy
Fork Union, VA 23055-2309
Phone (434) 842-3244

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.4 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
84.66

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fork Union Medical Associates Inc Family Medicine CurrentSince Jun 1, 2001 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1720114226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "FORK UNION",
            "state": "VA",
            "postal_code": "23055",
            "telephone_number": "434-842-3244",
            "fax_number": "434-842-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 JAMES MADISON HWY",
            "city": "FORK UNION",
            "state": "VA",
            "postal_code": "23055",
            "telephone_number": "434-842-3244",
            "fax_number": "434-842-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANFORD",
        "first_name": "RANDOLPH",
        "middle_name": "EWING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101032081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005615151",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fork Union, VA

Sources for this page

Verify at the official NPI Registry.