RANDALL GLEN WHITE JR. MD
NPI 1295199016
Pediatrics in Bossier City, LA
About Randall Glen White Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDALL GLEN WHITE JR. MD (NPI 1295199016) is an individual pediatrics provider in Bossier City, Louisiana, licensed in Louisiana (313083) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Shreveport.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 (PECOS)
Randall Glen White Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Randall White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bossier City, LA 71111
- Reassigned Medicare billing, Louisiana enrollment
- 3 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 71111 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 3
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 Randall White's NPI number?
The NPI number for Randall White is 1295199016. It was assigned to this individual provider in the NPPES registry on April 7, 2016.
Where is Randall White located?
Randall White practices at 2300 Hospital Dr Ste 120, Bossier City, LA 71111. The listed phone number is (318) 212-7982.
What is Randall White's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Randall White enrolled in Medicare?
Yes. Randall White is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Randall White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall White reassigns Medicare benefits to Wk Preferred Pediatrics (Bossier City, LA). 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 Randall White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randall White accept?
Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Randall White 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 Randall White was last updated on June 17, 2021. 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.
# Randall Glen White Jr., MD · NPI 1295199016
Pediatrics physician in Bossier City, Louisiana. Individual provider, active in the CMS NPPES registry since April 7, 2016.
## Identity
- **NPI:** 1295199016 (Entity type: Individual)
- **Enumerated:** April 7, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 313083 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2300 HOSPITAL DR STE 120, Bossier City, LA 71111
- **Phone:** (318) 212-7982 · **Fax:** (318) 212-7989
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wk Preferred Pediatrics (NPI 1760043491, Bossier City, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2021
- **Other identifiers:** Medicaid 2417380 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1295199016) · Data from the CMS NPPES public registry.