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MR. RANDOLF GARZA JR.
NPI 1003767740
Nurse Practitioner - Pediatrics in Odem, TX

Active since February 09, 2026PECOS Enrolled
5035 COUNTY ROAD 1883, ODEM, TX 78370(361) 813-3779 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Randolf Garza Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDOLF GARZA JR. (NPI 1003767740) is an individual pediatrics provider in Odem, Texas, licensed in Arizona (342006) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003767740
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMR. RANDOLF GARZA JR.
Location Address5035 COUNTY ROAD 1883Odem, TX 78370-4064
Mailing Address5035 County Road 1883Odem, TX 78370-4064 · (361) 813-3779
Phone(361) 813-3779
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 9, 2026
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1003767740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AZ · 342006
Also ListedRegistered NurseTaxonomy 163W00000X · License 982120 (TX)
5035 COUNTY ROAD 1883, Odem, TX 78370
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Secondary Practice Location 1

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-0920 · Fax (602) 933-2492

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Randolf Garza Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294291464
PECOS Enrollment IDI20260728003716
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Randolf Garza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Medical Group
918 mi
Multi-Specialty
5131 E SOUTHERN AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1487814240 (602) 933-0002

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78370 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolf Garza's NPI number?

The NPI number for Randolf Garza is 1003767740. It was assigned to this individual provider in the NPPES registry on February 9, 2026.

Where is Randolf Garza located?

Randolf Garza practices at 5035 County Road 1883, Odem, TX 78370. The listed phone number is (361) 813-3779.

What is Randolf Garza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Randolf Garza enrolled in Medicare?

Yes. Randolf Garza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Randolf Garza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randolf Garza reassigns Medicare benefits to Phoenix Children's Medical Group (Mesa, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randolf Garza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Randolf Garza was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.