NPIMap

Individual provider Active NPI

Randall H McShine, M.D.

  • Internal Medicine Physician
  • Sudbury, MA
National Provider Identifier
1770698664
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207961 Issued in MA
Practice address
490 Boston Post Rd
Sudbury, MA 01776-3367
Phone
(978) 579-6018
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207961 MA Primary

Addresses

Primary practice location

490 Boston Post Rd
Sudbury, MA 01776-3367

Mailing address

490 Boston Post Rd
Sudbury, MA 01776-3367
Phone (978) 579-6018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061117000190 MA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5698773133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians

Practice addresses (Care Compare)

133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020

133 Old Rd to Nine Acre Corner
Mary Beth Misserville
Concord, MA 01742-4159

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207961MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Cove Community Health Center, Inc. CurrentSince Oct 1, 2006 Accepting new patients
South Cove Community Health Center, Inc. CurrentSince Oct 1, 2006 Accepting new patients
Emerson Practice Associates, Inc. Internal Medicine CurrentSince Jun 30, 2024 Accepting new patients

Locations

145 South St
Boston, MA 02111
Phone (617) 521-6700

885 Washington St
Boston, MA 02111
Phone (617) 482-7555

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

490 Boston Post Rd
Sudbury, MA 01776
Phone (585) 747-9902

Interoperability endpoints

  • Direct secure messaging: mcshine.randall.epa@direct.partners.masshiway.net

Organizations & group practices 3

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 9

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1770698664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763367",
            "telephone_number": "978-579-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763367",
            "telephone_number": "978-579-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHINE",
        "first_name": "RANDALL",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "207961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

Verify at the official NPI Registry.