DR. JOSEPH JUSTIS RANDOLPH MD
NPI 1164497830
Emergency Medicine in St Cloud, MN

Q: What is Joseph Randolph's NPI number?

The NPI number for Joseph Randolph is 1164497830. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Q: What is Joseph Randolph's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Randolph was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 February 17, 2006PECOS Enrolled

1406 6TH AVE N, ST CLOUD, MN 56303(320) 255-5657(320) 656-7194 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Joseph Justis Randolph Md NPPES

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

DR. JOSEPH JUSTIS RANDOLPH MD (NPI 1164497830) is an individual emergency medicine provider in St Cloud, Minnesota, licensed in Minnesota (42563) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164497830

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JOSEPH JUSTIS RANDOLPHCredential: MD

Location Address1406 6TH AVE NSt Cloud, MN 56303-1901

Mailing Address1406 6th Ave NSaint Cloud, MN 56303-1900 · (320) 255-5657

Phone(320) 255-5657

Fax(320) 656-7194

Sole ProprietorNo

Enumeration DateFebruary 17, 2006

Last NPPES UpdateFebruary 17, 2011

✔ NPI 1164497830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in MN · 42563✔ Licensed in WA · MD60181938

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1406 6TH AVE N, St Cloud, MN 56303

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Other Identifiers 2

Medicaid1164497830WA

Medicare PING8896196WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph Justis 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.

Medicare Billing Reassignments

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

Unity Family Healthcare

20 mi

Family Medicine

320 3RD AVE
Albany, MN 56307

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1326234006 (Minnesota)
205 clinicians in this Medicare group

NPI 1093753642 (320) 845-2157

Alomere Health

62 mi

Otolaryngology/Facial Plastic Surgery

111 17TH AVE E STE 1
Alexandria, MN 56308

Reassigned Medicare billing, Minnesota enrollment
137 clinicians in this Medicare group

NPI 1396610879 (320) 759-4326

Cuyuna Regional Medical Center

63 mi

Critical Access

320 E MAIN ST
Crosby, MN 56441

Reassigned Medicare billing, Minnesota enrollment
224 clinicians in this Medicare group

NPI 1538143896 (218) 546-7000

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 56303 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

MARY ELIZABETH AMUNDSON APRN, CNP

Pediatrics