DR. RANDOLPH DOUGLAS GIBBS MD
NPI 1487859294
Independent Medical Examiner in Mecca, CA
About Dr. Randolph Douglas Gibbs Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDOLPH DOUGLAS GIBBS MD (NPI 1487859294) is an individual independent medical examiner provider in Mecca, California, licensed in Ohio (35046271) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Randolph Douglas Gibbs Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Randolph Gibbs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mecca, CA 92254
- Reassigned Medicare billing, California enrollment
- 135 clinicians in this Medicare group
Palm Springs, CA 92262
- Reassigned Medicare billing, California enrollment
- 167 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MECCA, CA 92254
MECCA, CA 92254
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 Randolph Gibbs's NPI number?
The NPI number for Randolph Gibbs is 1487859294. It was assigned to this individual provider in the NPPES registry on June 20, 2007.
Where is Randolph Gibbs located?
Randolph Gibbs practices at 91275 66th Ave Suite 500, Mecca, CA 92254. The listed phone number is (614) 659-0871.
What is Randolph Gibbs's specialty?
The primary specialty registered for this NPI is Independent Medical Examiner with taxonomy code 202C00000X.
Is Randolph Gibbs enrolled in Medicare?
Yes. Randolph Gibbs is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Randolph Gibbs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randolph Gibbs reassigns Medicare benefits to 2 organizations: Clinicas De Salud Del Pueblo, Inc (Mecca, CA) and Desert Medical Group, Inc. (Palm Springs, CA). Each 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 Randolph Gibbs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Randolph Gibbs was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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. Randolph Douglas Gibbs, MD · NPI 1487859294
Independent Medical Examiner physician in Mecca, California. Individual provider, active in the CMS NPPES registry since June 20, 2007.
## Identity
- **NPI:** 1487859294 (Entity type: Individual)
- **Enumerated:** June 20, 2007
- **Primary specialty:** Independent Medical Examiner · taxonomy 202C00000X
- **State license:** 35046271 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 91275 66TH AVE, SUITE 500, Mecca, CA 92254
- **Phone:** (614) 659-0871
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Clinicas De Salud Del Pueblo, Inc (NPI 1023188687, Mecca, CA); Desert Medical Group, Inc. (NPI 1114918612, Palm Springs, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2012
- **Other identifiers:** Medicaid 0504029 (OH); Medicare UPIN CO2303 (OH); Medicare ID-Type Unspecified G10510891 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1487859294) · Data from the CMS NPPES public registry.