Individual provider Active NPI

Randall Paul Riche, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Pensacola, FL
National Provider Identifier
1821099516
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME59729 Issued in FL
Practice address
4700 Bayou Blvd Ste 1B
Pensacola, FL 32503-2670
Phone
(850) 432-9698
Fax
(850) 432-9453
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME59729 FL Primary

Addresses

Primary practice location

4700 Bayou Blvd Ste 1B
Pensacola, FL 32503-2670

Mailing address

4700 Bayou Blvd Ste 1B
Pensacola, FL 32503-2670
Phone (850) 432-9698

Other identifiers 4

IdentifierTypeStateIssuer
ME59729OtherFLFL MEDICAL LICENSE
110050097OtherFLRAILROAD MEDICARE
59089541OtherALAL BS
054691700MedicaidFL

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
I20101008000676 FL Practitioner - Endocrinology 4981693710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Louisiana State University School of Medicine in New Orleans, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4700 Bayou Blvd
Suite 1B
Pensacola, FL 32503-2670
Phone (850) 432-9698

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • D W McMillan Memorial Hospital Hospital, Brewton, AL, CCN 010099
  • Jay Hospital Hospital, Jay, FL, CCN 101315

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME59729FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Randall P. Riche Mdpa Endocrinology, Diabetes & Metabolism CurrentSince Feb 14, 2000 Accepting new patients

Locations

4700 Bayou Blvd
Ste 1B
Pensacola, FL 32503
Phone (850) 432-9698

1717 N E St
Ste 438
Pensacola, FL 32501
Phone (850) 432-9698

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 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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1821099516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BAYOU BLVD STE 1B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032670",
            "telephone_number": "850-432-9698",
            "fax_number": "850-432-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BAYOU BLVD STE 1B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032670",
            "telephone_number": "850-432-9698",
            "fax_number": "850-432-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHE",
        "first_name": "RANDALL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME59729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL LICENSE",
            "identifier": "ME59729",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110050097",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL BS",
            "identifier": "59089541",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054691700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.