DR. AMELIA RANDOLPH MD
NPI 1093739708
Family Medicine in Santa Rosa, CA

Q: What is Amelia Randolph's NPI number?

The NPI number for Amelia Randolph is 1093739708. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Amelia Randolph's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Amelia Randolph was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment

3883 AIRWAY DR STE 120, SANTA ROSA, CA 95403(707) 521-4495(707) 573-5421 Get Directions Write a Review

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

Record update history: Jul 30, 2026, Nov 3, 2022, Dec 10, 2020 and 1 more (4 updates tracked since 2017).

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About Dr. Amelia Randolph Md NPPES

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

DR. AMELIA RANDOLPH MD (NPI 1093739708) is an individual family medicine provider in Santa Rosa, California, licensed in California (A77253) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Mcgill University, Faculty Of Medicine (2000).

NPPES Registry Identity

NPI1093739708

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. AMELIA RANDOLPHCredential: MD

Location Address3883 AIRWAY DR STE 120Santa Rosa, CA 95403-1678

Mailing Address576 Bokman PlSonoma, CA 95476-3672 · (207) 754-3257

Phone(707) 521-4495

Fax(707) 573-5421

Sole ProprietorNo

Medical School CMSMcgill University, Faculty Of MedicineGraduated 2000

Enumeration DateJuly 26, 2006

Last NPPES UpdateJuly 30, 20264 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1093739708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A77253

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3883 AIRWAY DR STE 120, Santa Rosa, CA 95403

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Other Identifiers 1

OtherA77253CA · State Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amelia Randolph Md 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 ID8921996240

PECOS Enrollment IDI20170906004008

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

Medicare enrollment records show Amelia Randolph reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sonoma Valley Emergency Physicians Medical Group, Inc

20 mi

Emergency Medicine

347 ANDRIEUX ST
Sonoma, CA 95476

Reassigned Medicare billing, California enrollment
112 clinicians in this Medicare group

NPI 1710164629 (330) 493-4443

Sutter Bay Medical Foundation

52 mi

Multi-Specialty

12 CAMINO ENCINAS
Orinda, CA 94563

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1366898538 (510) 204-8180

San Joaquin Emergency Medical Associates

147 mi

Emergency Medicine

333 MERCY AVE
Merced, CA 95340

Reassigned Medicare billing, California enrollment
141 clinicians in this Medicare group

NPI 1588960413 (844) 474-4019

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

Areas of Expertise CMS Part B claims 4

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.

99 services95 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.

22 services22 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

13 services13 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 10

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

DR. FREDERICK L KRONEN MD

Emergency Medicine