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MR. RANDOLPH CHARLES FISH D.P.M.
NPI 1063493559
Podiatrist - Primary Podiatric Medicine in Tacoma, WA

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
915 SO. 76TH ST., TACOMA, WA 98408(253) 584-9530(360) 427-2769 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Randolph Charles Fish D.p.m. NPPES

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

MR. RANDOLPH CHARLES FISH D.P.M. (NPI 1063493559) is an individual primary podiatric medicine provider in Tacoma, Washington, licensed in Washington (91-1813864) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Grays Harbor Community Hospital, and is a graduate of Temple University School Of Podiatric Medicine (1979).

NPPES Registry Identity

NPI1063493559
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameMR. RANDOLPH CHARLES FISHCredential: D.P.M.
Location Address915 SO. 76TH ST.Tacoma, WA 98408-2902
Mailing Address915 So. 76th StTacoma, WA 98408-2902 · (253) 584-9530 · Fax (360) 427-2769
Phone(253) 584-9530
Fax(360) 427-2769
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 1979
Enumeration DateNovember 10, 2005
Last NPPES UpdateApril 8, 2016
✔ NPI 1063493559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in WA · 91-1813864
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License PO00000297 (WA)
915 SO. 76TH ST., Tacoma, WA 98408
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Other Identifiers 7

Medicaid2041490WA
Medicare UPINT11570
Medicare NSC4972490001WA
Medicare PIN480023273WA
Medicare UPINAB01980WA
Medicaid2041494WA
Medicare ID-Type UnspecifiedGAB01980

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Randolph Charles Fish D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638123045
PECOS Enrollment IDI20050309000284
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
441 services90 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
177 services50 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
38 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
22 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500031
Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Capital Medical Center

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500139
Location3900 Capital Mall Dr SWOlympia, WA 98502 · Thurston County
Emergency services Birthing friendly

Summit Pacific Medical Center

Critical Access Hospitals · Elma, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501304
Location600 East Main StreetElma, WA 98541 · Grays Harbor County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier39 claims1,880 services$0.35 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier38 claims1,057 services$7.13 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
1 supplier26 claims1,980 services$0.04 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier33 claims2,112 services$0.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Randolph Fish's NPI number?

The NPI number for Randolph Fish is 1063493559. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Randolph Fish located?

Randolph Fish practices at 915 So. 76th St., Tacoma, WA 98408. The listed phone number is (253) 584-9530.

What is Randolph Fish's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Randolph Fish enrolled in Medicare?

Yes. Randolph Fish is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Randolph Fish affiliated with any hospitals?

According to CMS data, Randolph Fish is affiliated with Grays Harbor Community Hospital, Tacoma General Allenmore Hospital, Capital Medical Center and Summit Pacific Medical Center.

When was this NPI record last updated?

The NPPES record for Randolph Fish was last updated on April 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.