DR. RANDY EARL EISENHUT MD
NPI 1174580948
Pediatrics in Dayton, OH
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
Specialties & Licenses
Secondary Practice Locations 5
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Randy Eisenhut reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kettering, OH 45420
- Reassigned Medicare billing, Ohio enrollment
- 28 clinicians in this Medicare group
Dayton, OH 45404
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
- 479 clinicians in this Medicare group
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 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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
Where is Randy Eisenhut located?
Randy Eisenhut practices at 6551 Centerville Business Pkwy Ste 110, Dayton, OH 45459. The listed phone number is (937) 291-6850.
What is Randy Eisenhut's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Randy Eisenhut enrolled in Medicare?
Yes. Randy Eisenhut 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.
Which organizations bill Medicare for Randy Eisenhut's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randy Eisenhut reassigns Medicare benefits to 2 organizations: Premier Integrated Medical Assoc Ltd (Kettering, OH) and Dayton Children's Specialty Physicians, Inc. (Dayton, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randy Eisenhut's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randy Eisenhut accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Randy Eisenhut as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 7 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.
# Dr. Randy Earl Eisenhut, MD · NPI 1174580948
Pediatrics physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since April 27, 2006.
## Identity
- **NPI:** 1174580948 (Entity type: Individual)
- **Enumerated:** April 27, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 35058652E (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 6551 CENTERVILLE BUSINESS PKWY STE 110, Dayton, OH 45459-2696
- **Phone:** (937) 291-6850 · **Fax:** (947) 291-6896
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Premier Integrated Medical Assoc Ltd (NPI 1285690339, Kettering, OH); Dayton Children's Specialty Physicians, Inc. (NPI 1225192610, Dayton, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 1998
## Record status
- **NPPES last updated:** March 5, 2026
- **Other identifiers:** Medicaid 0817638 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1174580948) · Data from the CMS NPPES public registry.