Individual provider Active NPI

Randall F Randazzo, M.D.

  • Urology Physician
  • Tampa, FL
National Provider Identifier
1801897889
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036-077481 Issued in IL
Practice address
James a Haley Veterans' Hospital
13000 Bruce B Downs, Building 1
Tampa, FL 33612-4745
Phone
(813) 972-2000
Fax
(847) 466-7936
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036-077481 IL Primary

Addresses

Primary practice location

James a Haley Veterans' Hospital
13000 Bruce B Downs, Building 1
Tampa, FL 33612-4745

Mailing address

13000 Bruce B Downs Blvd
Building 1 A3-304
Tampa, FL 33612-4745
Phone (813) 972-2000

Other identifiers 1

IdentifierTypeStateIssuer
036077481MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20060525000026 IL Practitioner - UrologyPractitioner - Other (Physician) 0749291136 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-077481ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Shockwave Services, LTD. Urology CurrentSince Jan 1, 1987 Accepting new patients
Metro Chicago Surgical Oncology LLC CurrentSince Jan 15, 2019 Accepting new patients
Metro Chicago Surgical Oncology LLC Urology CurrentSince Jan 15, 2019 Accepting new patients
United Shockwave Services, LTD. CurrentSince Jan 1, 1987 Accepting new patients

Locations

800 Biesterfield Rd
Ste 2005
Elk Grove Vlg, IL 60007
Phone (847) 364-4990

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361

806 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 278-1243

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

815 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 366-7854

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3164/brand/1/csg/181/fhir/r4
  • Direct secure messaging: randall.randazzo.1@3164.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1801897889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 BRUCE B DOWNS BLVD",
            "address_2": "BUILDING 1 A3-304",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124745",
            "telephone_number": "813-972-2000",
            "fax_number": "847-466-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES A HALEY VETERANS' HOSPITAL",
            "address_2": "13000 BRUCE B DOWNS, BUILDING 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124745",
            "telephone_number": "813-972-2000",
            "fax_number": "847-466-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "RANDALL",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-077481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077481",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.