Individual provider Active NPI

Randy F McCollough, MD

  • Interventional Cardiology Physician
  • Harker Heights, TX
National Provider Identifier
1972594281
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
H2585 Issued in TX
Practice address
800 W Central Texas Expy
Ste. 355
Harker Heights, TX 76548-1899
Phone
(254) 526-2085
Fax
(254) 526-9569
NPI assigned
Nov 4, 2005
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X H2585 TX
Interventional Cardiology Physician 207RI0011X H2585 TX Primary

Addresses

Primary practice location

800 W Central Texas Expy
Ste. 355
Harker Heights, TX 76548-1899

Mailing address

7800 Shoal Creek Blvd
Suite 205N
Austin, TX 78757-1098
Phone (512) 206-4341

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmccollough3930@epiccwdv.hcadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20061018000329 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9436155272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Texas Medical Branch at Galveston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

800 W Central Expy
Suite 355
Harker Heights, TX 76548
Phone (254) 526-2085

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HH Killeen Health System LLC Cardiovascular Disease CurrentSince May 29, 2013 Accepting new patients
St Davids Heart & Vascular, PLLC Cardiovascular Disease CurrentSince Oct 1, 2006 Accepting new patients

Locations

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

7800 Shoal Creek Blvd
Ste 205N
Austin, TX 78757
Phone (512) 206-4300

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

110 Mountain Lion Rd
Ste A
Harker Heights, TX 76548
Phone (254) 618-4900

800 W Central Texas Expy
Ste 355
Harker Heights, TX 76548
Phone (254) 526-2085

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

7200 Wyoming Springs Dr
Ste 140
Round Rock, TX 78681
Phone (512) 244-2263

Interoperability endpoints

  • Direct secure messaging: 2561-mccollough-randy@direct.leadingreach.com

Organizations & group practices 2

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 5

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1972594281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD",
            "address_2": "SUITE 205N",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571098",
            "telephone_number": "512-206-4341",
            "fax_number": "512-407-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL TEXAS EXPY",
            "address_2": "STE. 355",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481899",
            "telephone_number": "254-526-2085",
            "fax_number": "254-526-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLOUGH",
        "first_name": "RANDY",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H2585",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "H2585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmccollough3930@epiccwdv.hcadirect.net",
            "affiliation": "N",
            "address_1": "800 W Central Texas Expy",
            "address_2": "STE. 355",
            "city": "Harker Heights",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765481899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.