Active NPI
Joseph L Randall Jr., MD
- Internal Medicine Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12248
- Practice address
- 420 Lowell Dr SE
Suite 104
Huntsville, AL 35801-3754 - Phone
- (256) 535-5968
- Fax
- (256) 535-5986
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12248 | AL | Primary |
Addresses
Primary practice location
420 Lowell Dr SE
Suite 104
Huntsville, AL 35801-3754
Mailing address
420 Lowell Dr SE
Suite 103
Huntsville, AL 35801-3754
Phone (256) 535-5940
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000017124 | Medicaid | AL | |
| 0004027926 | Other | AETNA | |
| 630958710 | Other | TAX ID | |
| 51017124 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Alabama School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
420 Lowell Dr SE
Suite 104
Huntsville, AL 35801-3755
Phone (256) 535-5968
Hospital & facility affiliations
- Centerwell Home Health
- Amedisys Home Health of Huntsville
- Huntsville Hospital Homecare
- Huntsville Hospital
- Crestwood Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12248 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HH Physician Care | Internal Medicine | Current | Accepting new patients |
| Healthcare Authority of the City of Huntsville | Past | Accepting new patients |
Locations
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
420 Lowell Dr SE
Ste 104
Huntsville, AL 35801
Phone (256) 535-5940
Networks
- bcbs alabama network 01B0
- bcbs alabama network 01C0
- bcbs alabama network 01H0
- bcbs alabama network 01G0
- bcbs alabama network 01A0
- bcbs alabama network 01E0
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Huntsville, AL
- NPI 1144860123
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1235434077
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Huntsville, AL
- NPI 1013975309
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1023061496
-
- Home Health Agency
- Huntsville, AL
- NPI 1427237387
-
- Home Health Agency
- Huntsville, AL
- NPI 1952345233
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1992786560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 LOWELL DR SE",
"address_2": "SUITE 103",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013754",
"telephone_number": "256-535-5940",
"fax_number": "256-535-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 LOWELL DR SE",
"address_2": "SUITE 104",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013754",
"telephone_number": "256-535-5968",
"fax_number": "256-535-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "JOSEPH",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "12248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000017124",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004027926",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "630958710",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51017124",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.