DR. RANDOLPH HARLEN ROBERTSON MD
NPI 1164448239
Radiology - Diagnostic Radiology in Fort Wayne, IN

Q: What is Randolph Robertson's NPI number?

The NPI number for Randolph Robertson is 1164448239. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: Where is Randolph Robertson located?

Randolph Robertson practices at 6119 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-1568.

Q: What is Randolph Robertson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Randolph Robertson was last updated on February 15, 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.

Active since July 14, 2006

6119 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-1568(260) 432-4969 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Randolph Harlen Robertson Md NPPES

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

DR. RANDOLPH HARLEN ROBERTSON MD (NPI 1164448239) is an individual diagnostic radiology provider in Fort Wayne, Indiana, licensed in Tennessee (18129) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1164448239

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. RANDOLPH HARLEN ROBERTSONCredential: MD

Location Address6119 W JEFFERSON BLVDFort Wayne, IN 46804-3072

Mailing Address142 W 5th StCookeville, TN 38501-1760 · (931) 528-2541 · Fax (931) 526-8814

Phone(260) 432-1568

Fax(260) 432-4969

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateFebruary 15, 2016

✔ NPI 1164448239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TN · 18129

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

6119 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Other Identifiers 10

Medicare PINM400048362IN

Medicare PINMI1209040MI

Medicare ID-Type Unspecified3037571TN

Medicaid3037577TN

Medicare PINP00950297IN

Other3156107TN · Bcbs

Other300114288TN · Railroad Medicare

Medicare UPINB00078TN

Medicaid0050269OH

Medicaid201023920IN

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions

Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…

Lower rates are better for this measure.

0%93 patients

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

95%630 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

STEVEN L HOSSLER M.D.