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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOSHUA TIMOTHY RANDOLPH MD
NPI 1255905311
Urology in Matthews, NC

Active since May 13, 2021PECOS EnrolledAccepts Medicare Assignment
1100 HEALING WAY STE 12, MATTHEWS, NC 28104(704) 993-2107(704) 993-2115 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2026, Aug 27, 2026, Sep 20, 2024 and 3 more (6 updates tracked since 2021).

About Dr. Joshua Timothy Randolph Md NPPES

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

DR. JOSHUA TIMOTHY RANDOLPH MD (NPI 1255905311) is an individual urology provider in Matthews, North Carolina, licensed in North Carolina (2026-04683) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Brody School Of Medicine At East Carolina University (2021).

NPPES Registry Identity

NPI1255905311
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JOSHUA TIMOTHY RANDOLPHCredential: MD
Location Address1100 HEALING WAY STE 12Matthews, NC 28104-5181
Mailing Address1100 Healing Way Ste 12Matthews, NC 28104-5181 · (704) 993-2107 · Fax (704) 993-2115
Phone(704) 993-2107
Fax(704) 993-2115
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2021
Enumeration DateMay 13, 2021
Last NPPES UpdateOctober 12, 20266 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1255905311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NC · 2026-04683
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1100 HEALING WAY STE 12, Matthews, NC 28104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and more.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. Joshua Timothy Randolph 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 ID4981006780
PECOS Enrollment IDI20241112003185
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 Reassignment

Medicare enrollment records show Joshua Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic Jacksonville
336 mi
Health Service
4500 SAN PABLO RD S
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 1,828 clinicians in this Medicare group
NPI 1174143986 (904) 953-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28104 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Joshua Randolph's NPI number?

The NPI number for Joshua Randolph is 1255905311. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Joshua Randolph located?

Joshua Randolph practices at 1100 Healing Way Ste 12, Matthews, NC 28104. The listed phone number is (704) 993-2107.

What is Joshua Randolph's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Joshua Randolph enrolled in Medicare?

Yes. Joshua Randolph 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 organization bills Medicare for Joshua Randolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Randolph reassigns Medicare benefits to Mayo Clinic Jacksonville (Jacksonville, FL). The 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 Joshua Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Randolph accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Joshua Randolph 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.

Is Joshua Randolph affiliated with any hospitals?

According to CMS data, Joshua Randolph is affiliated with Mayo Clinic.

When was this NPI record last updated?

The NPPES record for Joshua Randolph was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.