KYLE D. RANDOLPH DO
NPI 1497250096
Pediatrics in Albuquerque, NM
About Kyle D. Randolph Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE D. RANDOLPH DO (NPI 1497250096) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (A-2474-21) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyle D. Randolph Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kyle Randolph reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,105 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
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 Kyle Randolph's NPI number?
The NPI number for Kyle Randolph is 1497250096. It was assigned to this individual provider in the NPPES registry on March 26, 2018.
Where is Kyle Randolph located?
Kyle Randolph practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-5551.
What is Kyle Randolph's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kyle Randolph enrolled in Medicare?
Yes. Kyle Randolph is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kyle Randolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Randolph reassigns Medicare benefits to 2 organizations: Unm Medical Group Inc (Albuquerque, NM) and Presbyterian Healthcare Services (Albuquerque, NM). 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 Kyle Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Randolph accept?
Health plans from UnitedHealthcare list Kyle Randolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kyle Randolph was last updated on May 20, 2021. 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.
# Kyle D. Randolph, DO · NPI 1497250096
Pediatrics physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since March 26, 2018.
## Identity
- **NPI:** 1497250096 (Entity type: Individual)
- **Enumerated:** March 26, 2018
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A-2474-21 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 2211 LOMAS BLVD NE, Albuquerque, NM 87106-2719
- **Phone:** (505) 272-5551
## 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): Unm Medical Group Inc (NPI 1831218627, Albuquerque, NM); Presbyterian Healthcare Services (NPI 1215913470, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1497250096) · Data from the CMS NPPES public registry.