DR. OPAL ERIKA RANDOLPH DO
NPI 1386219335
Psychiatry & Neurology - Psychiatry in Flint, MI

Q: What is Opal Randolph's NPI number?

The NPI number for Opal Randolph is 1386219335. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Q: What is Opal Randolph's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Opal Randolph was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since May 21, 2021PECOS EnrolledAccepts Medicare Assignment

1040 W BRISTOL RD, FLINT, MI 48507(810) 496-5500(810) 496-5536 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2025, Sep 18, 2025, May 21, 2021 (3 updates tracked since 2021).

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About Dr. Opal Erika Randolph Do NPPES

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

DR. OPAL ERIKA RANDOLPH DO (NPI 1386219335) is an individual psychiatry provider in Flint, Michigan, licensed in Michigan (5101028293) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2021).

NPPES Registry Identity

NPI1386219335

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. OPAL ERIKA RANDOLPHCredential: DO

Location Address1040 W BRISTOL RDFlint, MI 48507-5516

Mailing Address1040 W Bristol RdFlint, MI 48507-5516 · (810) 257-3709 · Fax (810) 257-3755

Phone(810) 496-5500

Fax(810) 496-5536

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2021

Enumeration DateMay 21, 2021

Last NPPES UpdateDecember 10, 20253 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1386219335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MI · 5101028293

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1040 W BRISTOL RD, Flint, MI 48507

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Opal Erika Randolph Do 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 ID7911423504

PECOS Enrollment IDI20251021001058

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 48507 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

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

MR. MELVIN KENNETH LESTER

Community/Behavioral Health