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ZACHARY ANIL RANDOLPH MD
NPI 1134860653
Pediatrics in Ann Arbor, MI

Active since April 06, 2022PECOS Enrolled
1500 E MEDICAL CENTER DR SPC B1-380, ANN ARBOR, MI 48109(734) 232-6008 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Jun 29, 2024, Apr 6, 2022 (3 updates tracked since 2022).

About Zachary Anil Randolph Md NPPES

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

ZACHARY ANIL RANDOLPH MD (NPI 1134860653) is an individual pediatrics provider in Ann Arbor, Michigan, licensed in Michigan (4301513460) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134860653
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameZACHARY ANIL RANDOLPHCredential: MD
Location Address1500 E MEDICAL CENTER DR SPC B1-380Ann Arbor, MI 48109-5000
Mailing AddressPo Box 980257Richmond, VA 23298-0257 · (804) 828-9783
Phone(734) 232-6008
Sole ProprietorNo
Enumeration DateApril 6, 2022
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1134860653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301513460
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.
1500 E MEDICAL CENTER DR SPC B1-380, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Anil Randolph Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Zachary Randolph's NPI number?

The NPI number for Zachary Randolph is 1134860653. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Zachary Randolph located?

Zachary Randolph practices at 1500 E Medical Center Dr Spc B1-380, Ann Arbor, MI 48109. The listed phone number is (734) 232-6008.

What is Zachary Randolph's specialty?

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

Is Zachary Randolph enrolled in Medicare?

Yes. Zachary Randolph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Randolph was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.