BLAKE RANDOLPH M.D. - NPI 1285051144 - Pediatrics in Pickerington, OH

Q: What is Blake Randolph's NPI number?

The NPI number for Blake Randolph is 1285051144. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Q: What is Blake Randolph'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 Blake Randolph was last updated on February 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Blake Randolph M.d. NPPES

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

BLAKE RANDOLPH M.D. (NPI 1285051144) is an individual pediatrics provider in Pickerington, Ohio, licensed in Ohio (35.129178) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285051144

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameBLAKE RANDOLPHCredential: M.D.

Location Address905 OLD DILEY RDPickerington, OH 43147-2113

Mailing Address905 Old Diley RdPickerington, OH 43147-2113 · (614) 864-3222

Phone(740) 657-8000

Sole ProprietorNo

Enumeration DateMarch 27, 2014

Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2025

✔ NPI 1285051144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OH · 35.129178

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.

905 OLD DILEY RD, Pickerington, OH 43147

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Blake Randolph M.d. 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 43147 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 11

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

JULIE RUBINO DUNLEA M.D.

Pediatrics