DR. ADRIENNE G RANDOLPH MD, MSC
NPI 1396706859
Pediatrics - Pediatric Critical Care Medicine in Boston, MA

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-7237 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Adrienne G Randolph Md, Msc NPPES

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

DR. ADRIENNE G RANDOLPH MD, MSC (NPI 1396706859) is an individual pediatric critical care medicine provider in Boston, Massachusetts, licensed in Massachusetts (154233) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1989).

NPPES Registry Identity

NPI1396706859
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. ADRIENNE G RANDOLPHCredential: MD, MSC
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1989
Enumeration DateMarch 31, 2006
Last NPPES UpdateAugust 13, 2007
NPI 1396706859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in MA · 154233
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
300 LONGWOOD AVE, Boston, MA 02115

Other Identifiers 3

Medicare UPINF29722
Medicare ID-Type UnspecifiedA23341
Medicaid3169022MA

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. Adrienne G Randolph Md, Msc 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 ID8325226103
PECOS Enrollment IDI20110627000184
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.

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.

Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115

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 Adrienne Randolph's NPI number?

The NPI number for Adrienne Randolph is 1396706859. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Adrienne Randolph located?

Adrienne Randolph practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-7237.

What is Adrienne Randolph's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Adrienne Randolph enrolled in Medicare?

Yes. Adrienne Randolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Adrienne Randolph was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.