DR. RANDY SHANE OLLI MD
NPI 1366475931
Family Medicine in Iron Mountain, MI
About Dr. Randy Shane Olli Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDY SHANE OLLI MD (NPI 1366475931) is an individual family medicine provider in Iron Mountain, Michigan, licensed in Michigan (4301060059) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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. Randy Shane Olli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49801 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IRON MOUNTAIN, MI 49801
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 Randy Olli's NPI number?
The NPI number for Randy Olli is 1366475931. It was assigned to this individual provider in the NPPES registry on July 8, 2006.
Where is Randy Olli located?
Randy Olli practices at 325 E H St, Iron Mountain, MI 49801. The listed phone number is (906) 774-3300.
What is Randy Olli's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Randy Olli enrolled in Medicare?
Yes. Randy Olli is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Randy Olli was last updated on September 7, 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.
# Dr. Randy Shane Olli, MD · NPI 1366475931
Family Medicine physician in Iron Mountain, Michigan. Individual provider, active in the CMS NPPES registry since July 8, 2006.
## Identity
- **NPI:** 1366475931 (Entity type: Individual)
- **Enumerated:** July 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301060059 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 325 E H ST, Iron Mountain, MI 49801-4760
- **Phone:** (906) 774-3300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 7, 2020
- **Other identifiers:** Other 0G71004 (MI); Other 0G76001 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1366475931) · Data from the CMS NPPES public registry.