Individual provider Active NPI

Rachael Randall, M.D.

  • Family Medicine Physician
  • Montrose, CO
National Provider Identifier
1881039857
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR0057977 Issued in CO
Practice address
300 S Nevada Ave
Montrose, CO 81401-4273
Phone
(970) 249-7751
Fax
(970) 249-5029
NPI assigned
May 6, 2013
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X DR0057977 CO Primary

Addresses

Primary practice location

300 S Nevada Ave
Montrose, CO 81401-4273

Mailing address

300 S Nevada Ave
Montrose, CO 81401-4273
Phone (330) 364-4627

Other practice location 1

9000 Franklin Square Dr
Dept of Family Medicine
Baltimore, MD 21237-3901
Phone (443) 777-2000

Other practice location 2

500 west pacific avenue
telluride, CO 81435
Phone (970) 728-3848

Other identifiers 1

IdentifierTypeStateIssuer
DR0057977OtherCOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170626000188 CO Practitioner - Family Practice 1850670282 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montrose Memorial Hospital, IncGroup PAC ID 1658272992, 148 clinicians

Practice addresses (Care Compare)

800 S 3Rd St
Montrose, CO 81401-4212
Phone (970) 249-2211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0057977COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Memorial Hospital, Inc CurrentSince Dec 3, 2020 Accepting new patients
St Mary's Hospital and Medical Center, Inc Family Medicine Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC Family Medicine Current Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Dec 3, 2020 Accepting new patients
Montrose Memorial Hospital, Inc Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Nov 1, 2020 Accepting new patients
St Mary's Hospital and Medical Center, Inc CurrentSince May 7, 2017 Accepting new patients
St Mary's Hospital and Medical Center, Inc CurrentSince May 7, 2017 Accepting new patients
Cedar Point Health LLC Family Medicine CurrentSince Dec 3, 2020 Accepting new patients
Montrose Memorial Hospital, Inc Past Accepting new patients

Locations

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

2635 N 7th St
Ste 4205
Grand Junction, CO 81501
Phone (970) 298-7049

2303 S Townsend Ave
Ste A
Montrose, CO 81401
Phone (970) 240-6136

300 S Nevada Ave
Montrose, CO 81401
Phone (970) 252-1020

3330 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 240-7314

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1881039857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014273",
            "telephone_number": "330-364-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014273",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Franklin Square Dr",
            "address_2": "Dept of Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212373901",
            "country_code": "US",
            "telephone_number": "443-777-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 west pacific avenue",
            "address_purpose": "LOCATION",
            "city": "telluride",
            "state": "CO",
            "postal_code": "81435",
            "country_code": "US",
            "telephone_number": "970-728-3848",
            "fax_number": "970-728-3404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "RACHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0057977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DR0057977",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.