Randall E Hayes, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G0723 Issued in TX

Practice address

451 Westpark Way
Suite #1
Euless, TX 76040-3703

Phone

(817) 510-9510

Fax

(817) 799-0866

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

General PracticeAlso: Osteopathic Manipulative Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Kaner Medical Group PA

  • Internal Medicine Physician
  • Bedford, TX
  • NPI 1639169295

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1982640942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24299",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761241299",
            "telephone_number": "817-510-9510",
            "fax_number": "817-799-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 WESTPARK WAY",
            "address_2": "SUITE #1",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403703",
            "telephone_number": "817-510-9510",
            "fax_number": "817-799-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "RANDALL",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091809604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00642502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M6413",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn Edward Harris, OTR
• Harwood Smiles PLLC
• Heidi Annette Hasfjord, M.S., CCC-SLP
• Asha Hassan
• Jordyn Hayes, FNP-C
• Harold D Heald, PA
• Health First Care Clinic, LLC
• Health Imaging Partners, LLC (Envision Imaging Euless)
• Healthstat Inc
• Healthy Changes Inc

• Family Medicine Physician in Euless, TX
• Providers in Euless, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.