RANDOLPH BORRERO MD PA
NPI 1245826569
Family Medicine in Miami, FL
About Randolph Borrero Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDOLPH BORRERO MD PA (NPI 1245826569) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since December 2020. The organization lists Randolph Borrero, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randolph Borrero Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Randolph Borrero MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Randolph Borrero MD PA's NPI number?
The NPI number for Randolph Borrero MD PA is 1245826569. It was assigned to this organization in the NPPES registry on December 21, 2020.
Where is Randolph Borrero MD PA located?
Randolph Borrero MD PA is located at 1190 NW 95th St Ste 205, Miami, FL 33150. The listed phone number is (305) 835-7045.
What is Randolph Borrero MD PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Randolph Borrero MD PA enrolled in Medicare?
Yes. Randolph Borrero MD PA is registered in the Medicare PECOS enrollment system.
When is Randolph Borrero MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Randolph Borrero MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Randolph Borrero MD PA. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Randolph Borrero MD PA accept?
Health plans from AvMed and Molina Healthcare list Randolph Borrero MD PA 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 Randolph Borrero MD PA was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Randolph Borrero Md Pa · NPI 1245826569
Family Medicine organization in Miami, Florida. Organization record, active in the CMS NPPES registry since December 21, 2020.
## Identity
- **NPI:** 1245826569 (Entity type: Organization)
- **Enumerated:** December 21, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Randolph Borrero, PHYSICIAN
## Practice location
- **Address:** 1190 NW 95TH ST STE 205, Miami, FL 33150-2064
- **Phone:** (305) 835-7045
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1245826569) · Data from the CMS NPPES public registry.