Active NPI
Thomas Randall, MD
- Pediatric Adolescent Medicine Physician
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MT8543
- Practice address
- 2835 Fourt Missoula Rd
Ste 205 Missoula Family Pediatrics
Missoula, MT 59804 - Phone
- (406) 542-0391
- NPI assigned
- Aug 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MT8543 | MT | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | MT8543 | MT | Primary |
Addresses
Primary practice location
2835 Fourt Missoula Rd
Ste 205 Missoula Family Pediatrics
Missoula, MT 59804
Mailing address
PO Box 16900
Missoula, MT 59808
Phone (406) 327-4620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049759 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT8543 | MT | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients |
Locations
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
2835 Fort Missoula Rd
Ste 102
Missoula, MT 59804
Phone (406) 327-3920
2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850
2835 Fort Missoula Rd
Ste 205
Missoula, MT 59804
Phone (406) 542-0391
2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
Interoperability endpoints
- trandall@direct.communitymed.org
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1942210166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16900",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59808",
"telephone_number": "406-327-4620",
"fax_number": "406-549-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 FOURT MISSOULA RD",
"address_2": "STE 205 MISSOULA FAMILY PEDIATRICS",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59804",
"telephone_number": "406-542-0391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MT",
"license": "MT8543",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MT",
"license": "MT8543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0049759",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.