Individual provider Active NPI

William Thoburn Randazzo, M.D.

  • Diagnostic Radiology Physician
  • Augusta, GA
National Provider Identifier
1881915346
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
081756 Issued in GA
Practice address
9 Highgate W
Augusta, GA 30909-3109
Phone
(208) 416-2932
Fax
(855) 673-9190
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101257809 VA
Diagnostic Radiology Physician 2085R0202X 081756 GA Primary

Addresses

Primary practice location

9 Highgate W
Augusta, GA 30909-3109

Mailing address

22100 Bothell Everett Hwy
Bothell, WA 98021-8431
Phone (208) 416-2932

Other identifiers 1

IdentifierTypeStateIssuer
003215681MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC, GA, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150731015551 PA Practitioner - Diagnostic Radiology 4981918158 Reassigns benefits to 1 organization
I20161109000375 SC Practitioner - Diagnostic Radiology 4981918158 Reassigns benefits to 2 organizations
I20181206002970 GA Practitioner - Diagnostic Radiology 4981918158 Reassigns benefits to 18 organizations
I20240221001401 TX Practitioner - Diagnostic Radiology 4981918158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pennsylvania State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians

Practice addresses (Care Compare)

9 Highgate W
Augusta, GA 30909-3109
Phone (469) 757-1042

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101257809VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Dec 18, 2022 Accepting new patients
DHHS IHS Phoenix Area Family Medicine CurrentSince Jan 17, 2024 Accepting new patients
Oroville Hospital CurrentSince Feb 20, 2016 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology CurrentSince Nov 18, 2022 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Simi Radiology and Imaging Medical Group Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Tennessee Valley Radiology LLC Diagnostic Radiology CurrentSince Nov 18, 2022 Accepting new patients
Carilion Medical Center CurrentSince Sep 29, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Cumberland Imaging Associates, PC CurrentSince Dec 1, 2022 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 2, 2024 Accepting new patients
Memorial Hospital of Converse County CurrentSince Dec 1, 2024 Accepting new patients
Carilion Medical Center CurrentSince Sep 29, 2024 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
CMSC, LLC CurrentSince Feb 5, 2024 Accepting new patients
White Mountain Radiology Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Acadiana Radiology Group Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Eastern Radiological Associates PC Diagnostic Radiology CurrentSince Mar 23, 2024 Accepting new patients
Jason L Hwang MD Inc Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Intercity Radiology, PC CurrentSince Dec 15, 2022 Accepting new patients
Winchester Radiologists PC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Coquille Valley Hospital District Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients
MCHS Hospitals Inc Past Accepting new patients

Locations (25 of 28)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

1839 N Government Way
Ste B
Coeur D Alene, ID 83814
Phone 20844919312

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

4811 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 237-8119

4809 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 981-2949

2311 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 231-5775

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

2900 12th Ave N
Ste 4E
Billings, MT 59101
Phone (406) 245-6378

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

1648 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 556-4649

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

900 W Ash St
Deming, NM 88030
Phone (505) 546-2761

104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500

608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

1010 N Mill St
Bowie, TX 76230
Phone (817) 872-1121

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712

605 N Maple St
Muenster, TX 76252
Phone (940) 759-2271

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

Interoperability endpoints

  • Direct secure messaging: wrandazzo1192673@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: wrandazzo3083820@direct.bsmhealth.org

Organizations & group practices 36

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.

View all 36

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1881915346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22100 BOTHELL EVERETT HWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218431",
            "telephone_number": "208-416-2932",
            "fax_number": "855-673-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HIGHGATE W",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093109",
            "telephone_number": "208-416-2932",
            "fax_number": "855-673-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "WILLIAM",
        "middle_name": "THOBURN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101257809",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "081756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003215681",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.