RANDDOLF PHYSICIANS PLLC
NPI 1386484947
Family Medicine in San Antonio, TX
About Randdolf Physicians Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDDOLF PHYSICIANS PLLC (NPI 1386484947), doing business as Starmed Clinic, is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since May 2024. The organization lists Derrick E. Randdolf, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randdolf Physicians Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Randdolf Physicians PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Randdolf Physicians PLLC's NPI number?
The NPI number for Randdolf Physicians PLLC is 1386484947. It was assigned to this organization in the NPPES registry on May 30, 2024. The provider is doing business as StarMed Clinic.
Where is Randdolf Physicians PLLC located?
Randdolf Physicians PLLC is located at 22211 Ih 10 W Ste 1206, San Antonio, TX 78257. The listed phone number is (917) 562-5727.
What is Randdolf Physicians PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Randdolf Physicians PLLC enrolled in Medicare?
Yes. Randdolf Physicians PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Randdolf Physicians PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Randdolf Physicians PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Randdolf Physicians PLLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Randdolf Physicians Pllc · NPI 1386484947
Family Medicine organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since May 30, 2024.
## Identity
- **NPI:** 1386484947 (Entity type: Organization)
- **Enumerated:** May 30, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** StarMed Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Derrick Randdolf, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 22211 IH 10 W STE 1206, San Antonio, TX 78257-1742
- **Phone:** (917) 562-5727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386484947) · Data from the CMS NPPES public registry.