Active NPI
Randall Kevin Wolf, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- Q3312
- Practice address
- 6550 Fannin St Ste 1401
Houston, TX 77030 - Phone
- (713) 441-5200
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01029011A | IN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 35-051891 | OH | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Q3312 | TX | Primary |
Addresses
Primary practice location
6550 Fannin St Ste 1401
Houston, TX 77030
Mailing address
6550 Fannin St Ste 1401
Houston, TX 77030-2738
Phone (713) 441-5200
Other practice location 1
6400 Fannin St
Suite 2350
Houston, TX 77030-1521
Phone (713) 486-6714
Other practice location 2
6400 Fannin St
Suite 2350
Houston, TX 77030-1521
Phone (713) 486-6714
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01214586 | Other | IN | RR MEDICARE PTAN |
| 345451403 | Medicaid | TX | |
| 0723506 | Medicaid | OH | |
| 100093980 | Medicaid | IN | |
| P01080757 | Other | IN | RAILROAD PTAN |
| 64862964 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Indiana University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150
6550 Fannin St
Suite 1401
Houston, TX 77030-2738
Phone (713) 441-5200
6565 Fannin St
Houston, TX 77030-2703
Hospital & facility affiliations
- Houston Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01029011A | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 35-051891 | OH | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Houston Methodist Specialty Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Deaconess Healthcare Services Co | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients | |
| Osu Surgery, LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Houston Methodist | Past | Accepting new patients |
Locations
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
6550 Fannin St
Ste 1401
Houston, TX 77030
Phone (713) 441-5200
6400 Fannin St
Ste 2350
Houston, TX 77030
Phone (713) 486-6714
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150
6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- rwolf212409@directhoustonmethodist.org
Organizations & group practices 11
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.
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Specialist
- Houston, TX
- NPI 1437242617
-
- Nurse Practitioner
- Houston, TX
- NPI 1992178693
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1194703173
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Surgery Physician
- Columbus, OH
- NPI 1538117551
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1851369417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN ST STE 1401",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302738",
"telephone_number": "713-441-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST STE 1401",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-441-5200"
}
],
"practiceLocations": [
{
"address_1": "6400 Fannin St",
"address_2": "Suite 2350",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301521",
"country_code": "US",
"telephone_number": "713-486-6714",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6400 Fannin St",
"address_2": "Suite 2350",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301521",
"country_code": "US",
"telephone_number": "713-486-6714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLF",
"first_name": "RANDALL",
"middle_name": "KEVIN",
"name_prefix": "Prof.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01029011A",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OH",
"license": "35-051891",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "Q3312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "P01214586",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "345451403",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0723506",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100093980",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PTAN",
"identifier": "P01080757",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64862964",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.