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DR. AMBER TIFFANY RANDOLPH MD
NPI 1194200121
Ophthalmology in Chicago, IL

Active since September 25, 2018PECOS Enrolled
1009 S WOOD ST, CHICAGO, IL 60612(312) 996-7445 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2026, Jun 20, 2023, Jun 15, 2023 and 1 more (4 updates tracked since 2018).

About Dr. Amber Tiffany Randolph Md NPPES

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

DR. AMBER TIFFANY RANDOLPH MD (NPI 1194200121) is an individual ophthalmology provider in Chicago, Illinois, licensed in Illinois (036.178700) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194200121
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. AMBER TIFFANY RANDOLPHCredential: MD
Location Address1009 S WOOD STChicago, IL 60612-3747
Mailing Address1009 S Wood StChicago, IL 60612-3747
Phone(312) 996-7445
Sole ProprietorYes
Enumeration DateSeptember 25, 2018
Last NPPES UpdateMay 19, 20264 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1194200121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IL · 036.178700
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1009 S WOOD ST, Chicago, IL 60612
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amber Tiffany 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 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

SAMUEL JOHN OHLANDER M.D.
Urology
1009 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-2779
DR. KAROLINA AGATA PLONOWSKA-HIRSCHFELD MD
Otolaryngology
1009 S WOOD ST
CHICAGO, IL 60612
Cook County (314) 362-7509
BETTY SITU
Ophthalmology
1009 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-3937
SAMANTHA ROBERTS
Student in an Organized Health Care Education/Training Program
1009 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-2279
ANGELA YARU CHANG MD
Ophthalmology
1009 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-7445
CHRISTOPHER CHUNG MD
Ophthalmology
1009 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-3937
MS. ALEXANDRA CHRISTINA SCHENCK CCC-SLP
Speech-Language Pathologist
1009 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 413-8459
DR. JANE SUH M.D.
Internal Medicine (Gastroenterology)
1009 S WOOD ST
CHICAGO, IL 60612
Cook County (866) 600-2273

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 Amber Randolph's NPI number?

The NPI number for Amber Randolph is 1194200121. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Amber Randolph located?

Amber Randolph practices at 1009 S Wood St, Chicago, IL 60612. The listed phone number is (312) 996-7445.

What is Amber Randolph's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Amber Randolph enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amber Randolph was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.