NPIMap

Individual provider Active NPI

David Joseph Randell, DO

  • Family Medicine Physician
  • Abilene, TX
National Provider Identifier
1932198611
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H5795 Issued in TX
Practice address
6250 Regional PLZ
Suite 1010
Abilene, TX 79606-5262
Phone
(325) 428-5500
Fax
(325) 428-5519
NPI assigned
Oct 17, 2005
Last updated
Jul 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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 H5795 TX Primary

Addresses

Primary practice location

6250 Regional PLZ
Suite 1010
Abilene, TX 79606-5262

Mailing address

35 Windmill Cir
Abilene, TX 79606-5234
Phone (325) 698-4221

Other identifiers 1

IdentifierTypeStateIssuer
133854306MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101006000892 TX Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1153395520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

35 Windmill Cir
Abilene, TX 79606-5234
Phone (325) 428-5790

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jun 1, 2021 Accepting new patients
Hendrick Provider Network Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Abilene Pain Care, PA CurrentSince Apr 27, 2011 Accepting new patients
Nextcare Primary Care Texas PLLC PastSince Feb 1, 2017 Accepting new patients

Locations

1680 Antilley Rd
Ste 115
Abilene, TX 79606
Phone (325) 428-5680

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

35 Windmill Cir
Abilene, TX 79606
Phone (325) 428-5790

6250 Regional Plz
Ste 1010
Abilene, TX 79606
Phone (325) 428-5500

300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400

Organizations & group practices 5

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 6

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1932198611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WINDMILL CIR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065234",
            "telephone_number": "325-698-4221",
            "fax_number": "325-698-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 REGIONAL PLZ",
            "address_2": "SUITE 1010",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065262",
            "telephone_number": "325-428-5500",
            "fax_number": "325-428-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDELL",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H5795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133854306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.