1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Internal Medicine
  6. NPI Profile

GLENN R RANDALL MD
NPI 1033170972
Internal Medicine - Geriatric Medicine in Worcester, MA

Active since March 30, 2006
277 EAST MOUNTAIN ST, SUMMIT ELDERCARE, WORCESTER, MA 01606(508) 852-2026(508) 856-7130 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glenn R Randall Md NPPES

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

GLENN R RANDALL MD (NPI 1033170972) is an individual geriatric medicine provider in Worcester, Massachusetts, licensed in Massachusetts (80026) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1033170972
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameGLENN R RANDALLCredential: MD
Location Address277 EAST MOUNTAIN ST, SUMMIT ELDERCAREWorcester, MA 01606
Mailing Address277 East Mountain St, Summit EldercareWorcester, MA 01606 · (508) 852-2026 · Fax (508) 856-7130
Phone(508) 852-2026
Fax(508) 856-7130
Sole ProprietorNo
Enumeration DateMarch 30, 2006
Last NPPES UpdateJanuary 17, 2014
✔ NPI 1033170972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in MA · 80026
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License 80026 (MA)
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 80026 (MA)
277 EAST MOUNTAIN ST, Worcester, MA 01606
Open in Google Maps ↗

Other Identifiers 20

Other042472266Healthcare Value Mgmt
Other042472266Private Healthcare System
Other1061182First Health
Other110175052Railroad Medicare
Other6633909Cigna Health Plan
Other7001328Aetna Us Healthcare
Other784073Mvp Health Care
Other042472266One Health Plan
Other27190Childrens Med Sec Plan
Other27190Healthy Start
Medicare UPINE87046
Medicare ID-Type UnspecifiedJ14922MA
Other991122Fallon Community Health P
OtherAA2364Harvard Pilgrim Healthcar
OtherJ14922Blue Care Elect
OtherJ14922Blue Shield Hmo Blue
Other0400961Evercare
OtherJ14922Medicare B
Medicaid3131335MA
OtherJ14922Blue Shield Indemnity

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 Glenn Randall's NPI number?

The NPI number for Glenn Randall is 1033170972. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Glenn Randall located?

Glenn Randall practices at 277 East Mountain St Summit Eldercare, Worcester, MA 01606. The listed phone number is (508) 852-2026.

What is Glenn Randall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Glenn Randall was last updated on January 17, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.