JARED D RANDALL
NPI 1124873070
Physician Assistant in Baltimore, MD

Active since April 23, 2024PECOS EnrolledAccepts Medicare Assignment
2401 W BELVEDERE AVE, BALTIMORE, MD 21215(501) 557-8282 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Apr 23, 2024 (2 updates tracked since 2024).

About Jared D Randall NPPES

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

JARED D RANDALL (NPI 1124873070) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C0009955) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124873070
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJARED D RANDALL
Location Address2401 W BELVEDERE AVEBaltimore, MD 21215-5270
Mailing Address2401 W Belvedere AveBaltimore, MD 21215-5270 · (501) 557-8282
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 23, 2024
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1124873070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MD · C0009955
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2401 W BELVEDERE AVE, Baltimore, MD 21215

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

Jared D Randall 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 ID8527564889
PECOS Enrollment IDI20251005000074
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.

Hospital Affiliations CMS Care Compare

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

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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.

Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Internal Medicine
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Pediatrics (Pediatric Critical Care Medicine)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Counselor (Professional)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE, ANESTHESIA DEPARTMENT
BALTIMORE, MD 21215
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215

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 Jared Randall's NPI number?

The NPI number for Jared Randall is 1124873070. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Jared Randall located?

Jared Randall practices at 2401 W Belvedere Ave, Baltimore, MD 21215. The listed phone number is (501) 557-8282.

What is Jared Randall's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jared Randall enrolled in Medicare?

Yes. Jared Randall 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 Jared Randall affiliated with any hospitals?

According to CMS data, Jared Randall is affiliated with Sinai Hospital Of Baltimore.

When was this NPI record last updated?

The NPPES record for Jared Randall was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.