Individual provider Active NPI

Randall H Adolph, D.O.

  • Emergency Medicine Physician
  • Canton, OH
National Provider Identifier
1881686871
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2006-01424 Issued in NC
Practice address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone
(330) 493-4443
Fax
(216) 464-5982
NPI assigned
Aug 17, 2005
Last updated
Apr 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2006-01424 NC Primary
Family Medicine Physician 207Q00000X 34008394 OH

Addresses

Primary practice location

4535 Dressler Rd NW
Canton, OH 44718-2545

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443

Other identifiers 1

IdentifierTypeStateIssuer
2673003MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC, PA, OK, WV, MD6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20050308000610 OH Practitioner - Emergency Medicine 0547214025 Reassigns benefits to 3 organizations
I20070124000414 NC Practitioner - Emergency MedicinePractitioner - Family Practice 0547214025 Reassigns benefits to 2 organizations
I20110615000312 PA Practitioner - Emergency Medicine 0547214025 Reassigns benefits to 1 organization
I20180717001910 OK Practitioner - Emergency Medicine 0547214025 Reassigns benefits to 1 organization
I20221201002484 WV Practitioner - Emergency Medicine 0547214025 Reassigns benefits to 2 organizations
I20241203001770 MD Practitioner - Emergency Medicine 0547214025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
84.87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6349OKMDDentist
34008394OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Tulsa County, LLC Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Emergency Medicine Associates, PA Emergency Medicine CurrentSince Oct 15, 2024 Accepting new patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince Jun 3, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine Current Accepting new patients
Emergency Medicine Physicians of Champaign County LTD Emergency Medicine CurrentSince May 20, 2013 Accepting new patients
Allied West Virginia Emergency Physicians PLLC Emergency Medicine CurrentSince Nov 3, 2022 Accepting new patients
Valley Emergency Physicians Ohio LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Racine Observation Medical Group, PLLC Emergency Medicine CurrentSince Nov 9, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 15, 2024 Accepting new patients
Emergency Medicine Physicians of Gaston County, PLLC Emergency Medicine Past Accepting new patients
Bes of Ohio, LLC, Dba Medgroup Past Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients
Emergency Medicine Physicians of Barberton, LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Alle-Kiski, LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Wadsworth, LTD. Emergency Medicine Past Accepting new patients
Bes of Ohio, LLC Emergency Medicine Past Accepting new patients
Saint Francis Hospital South LLC Past Accepting new patients
Saint Francis Hospital Muskogee Inc Past Accepting new patients
Linville Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of York County, LTD Emergency Medicine Past Accepting new patients

Locations

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1881686871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443",
            "fax_number": "216-464-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443",
            "fax_number": "216-464-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOLPH",
        "first_name": "RANDALL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2006-01424",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34008394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2673003",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.