NPIMap

Individual provider Active NPI

Randi M Kodroff, D.O.

  • Family Medicine Physician
  • Arlington, VA
National Provider Identifier
1831155373
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102203317 Issued in VA
Practice address
1005 N Glebe Rd
Suite 400
Arlington, VA 22201-5718
Phone
(571) 492-3045
Fax
(571) 492-3046
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 0102203317 VA Primary

Addresses

Primary practice location

1005 N Glebe Rd
Suite 400
Arlington, VA 22201-5718

Mailing address

1005 N Glebe Rd
Suite 400
Arlington, VA 22201-5718
Phone (571) 492-3045

Other identifiers 1

IdentifierTypeStateIssuer
GP4819MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20130628000016 DC Practitioner - Family Practice 9133141989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Practice addresses (Care Compare)

15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776

5530 Wisconsin Ave
Suite 850
Chevy Chase, MD 20815-4446
Phone (301) 869-9776

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Consultants of Florida, LLC Family Medicine CurrentSince Jan 3, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Capital Health Medical Group Family Medicine PastSince Sep 13, 2016 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Lourdes Medical Associates PA Family Medicine PastSince Jul 9, 2007 Accepting new patients
Hamilton Physicians Group, PC Family Medicine PastSince Sep 6, 2011 Accepting new patients
Lourdes Medical Associates, PA Past Accepting new patients
Georgetown Physician Associates, LLC Family Medicine PastSince Jul 15, 2012 Accepting new patients

Locations

328 N Congress Ave
Boynton Beach, FL 33426
Phone (561) 572-3227

672 SW Prima Vista Blvd
Ste 101
Port St Lucie, FL 34983
Phone (772) 905-2555

Interoperability endpoints

  • Direct secure messaging: randi.kodroff@cpcl.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 3

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831155373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N GLEBE RD",
            "address_2": "SUITE 400",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015718",
            "telephone_number": "571-492-3045",
            "fax_number": "571-492-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N GLEBE RD",
            "address_2": "SUITE 400",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015718",
            "telephone_number": "571-492-3045",
            "fax_number": "571-492-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODROFF",
        "first_name": "RANDI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4819",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.