DR. RANDY EARL EISENHUT MD
NPI 1174580948
Pediatrics in Dayton, OH

Q: What is Randy Eisenhut's NPI number?

The NPI number for Randy Eisenhut is 1174580948. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Randy Eisenhut's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Randy Eisenhut was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 27, 2006PECOS EnrolledAccepts Medicare Assignment

6551 CENTERVILLE BUSINESS PKWY STE 110, DAYTON, OH 45459(937) 291-6850(947) 291-6896 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Oct 10, 2023, Oct 2, 2023 and 2 more (5 updates tracked since 2016).

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About Dr. Randy Earl Eisenhut Md NPPES

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

DR. RANDY EARL EISENHUT MD (NPI 1174580948) is an individual pediatrics provider in Dayton, Ohio, licensed in Ohio (35058652E) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1998).

NPPES Registry Identity

NPI1174580948

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. RANDY EARL EISENHUTCredential: MD

Location Address6551 CENTERVILLE BUSINESS PKWY STE 110Dayton, OH 45459-2696

Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3555 · Fax (937) 641-4528

Phone(937) 291-6850

Fax(947) 291-6896

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1998

Enumeration DateApril 27, 2006

Last NPPES UpdateMarch 5, 20265 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1174580948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OH · 35058652E

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.

6551 CENTERVILLE BUSINESS PKWY STE 110, Dayton, OH 45459

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Secondary Practice Locations 5

Location 1200 Rockridge Rd Ste 110Englewood, OH 45322-2751 · Phone (937) 836-9921 · Fax (937) 836-1298

Location 21152 W 3rd St Ste 102Dayton, OH 45402-6848 · Phone (937) 268-3483 · Fax (937) 268-1884

Location 33333 W Tech Rd Ste 120Miamisburg, OH 45342-0956 · Phone (937) 748-6116 · Fax (937) 291-6956

Location 48501 Old Troy Pike Ste 120Huber Heights, OH 45424-1061 · Phone (937) 237-4945 · Fax (937) 237-4925

Location 51425 N Fairfield Rd Ste 120Beavercreek, OH 45432-2674 · Phone (937) 320-3888 · Fax (937) 320-3848

Other Identifiers 1

Medicaid0817638OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

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

Dr. Randy Earl Eisenhut 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 ID4284847021

PECOS Enrollment IDI20160829000339

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 45459 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 6

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

DR. VICTORIA S TAYLOR MD

Pediatrics