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RANDA N. A OTHMAN M.D
NPI 1093073173
Pediatrics in Odessa, TX

Active since April 26, 2012PECOS Enrolled
701 W 5TH ST, ODESSA, TX 79763(432) 335-1421(432) 335-1807 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Randa N. A Othman M.d NPPES

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

RANDA N. A OTHMAN M.D (NPI 1093073173) is an individual pediatrics provider in Odessa, Texas, licensed in Arkansas (E-10673) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Odessa.

NPPES Registry Identity

NPI1093073173
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRANDA N. A OTHMANCredential: M.D
Location Address701 W 5TH STOdessa, TX 79763
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-2963
Phone(432) 335-1421
Fax(432) 335-1807
Sole ProprietorNo
Enumeration DateApril 26, 2012
Last NPPES UpdateMay 31, 2018
✔ NPI 1093073173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AR · E-10673
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
701 W 5TH ST, Odessa, TX 79763
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Secondary Practice Location 1

Location 1701 W 5th StOdessa, TX 79763-4206 · Phone (432) 335-1421 · Fax (432) 335-1807

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randa N. A Othman M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Randa Othman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Arkansas For Medical Sciences
561 mi
Developmental - Behavioral Pediatrics
519 LATHAM DR
Lowell, AR 72745
  • Reassigned Medicare billing, Arkansas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1407021280 (479) 750-0125
Arkansas Childrens Hospital
620 mi
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526

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 79763 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADETOMIWA OGUNDERE M.D.
Internal Medicine
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5375
DR. CARLOS NIETO JR. M.D.
Pediatrics (Pediatric Critical Care Medicine)
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 335-1500
AMOGE CHINENYE OPARA MD
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5238
DR. STEPHANIE VILLARREAL M.D.
Pediatrics
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 335-2222
MERIDITH LYNN BUZBEE
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5083
CARINA ROSE GOODART
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5238
CHUKWUDIKE GREAT NNAJI
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5238
LUTFOR NESSA MD, MPH
Internal Medicine
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5375

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 Randa Othman's NPI number?

The NPI number for Randa Othman is 1093073173. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Randa Othman located?

Randa Othman practices at 701 W 5th St, Odessa, TX 79763. The listed phone number is (432) 335-1421.

What is Randa Othman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Randa Othman enrolled in Medicare?

Yes. Randa Othman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Randa Othman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randa Othman reassigns Medicare benefits to 2 organizations: University Of Arkansas For Medical Sciences (Lowell, AR) and Arkansas Childrens Hospital (Little Rock, AR). Each 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 Randa Othman'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 Randa Othman was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.