Individual provider Active NPI

Randolph S Geslani, M.D.

  • Neurology Physician
  • Lehigh Acres, FL
National Provider Identifier
1760442057
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
33246 Issued in FL
Practice address
228 Plaza Dr
Suite E
Lehigh Acres, FL 33936-6054
Phone
(239) 368-7260
Fax
(239) 694-5953
NPI assigned
Mar 23, 2006
Last updated
Feb 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 33246 FL Primary

Addresses

Primary practice location

228 Plaza Dr
Suite E
Lehigh Acres, FL 33936-6054

Mailing address

PO Box 51679
Fort Myers, FL 33994-1679
Phone (239) 368-7260

Other identifiers 1

IdentifierTypeStateIssuer
038996000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101228000120 FL Practitioner - Neurology 7214125764 Practice locations: Lehigh Acres, FL

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

228 Plaza Dr
Suite E
Lehigh Acres, FL 33936-6054

228 Plaza Dr E
Lehigh Acres, FL 33936-6054
Phone (239) 368-7260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33246FLMDNeurology Physician

Networks

  • Optimum HealthCare HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1760442057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51679",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339941679",
            "telephone_number": "239-368-7260",
            "fax_number": "239-694-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 PLAZA DR",
            "address_2": "SUITE E",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366054",
            "telephone_number": "239-368-7260",
            "fax_number": "239-694-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESLANI",
        "first_name": "RANDOLPH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "33246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038996000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.