DR. BEVERLY BANKS RANDALL M.D.
NPI 1598862831
Pediatrics - Neonatal-Perinatal Medicine in Philadelphia, PA

Active since September 20, 2006PECOS Enrolled
3401 CIVIC CENTER BLVD STE M975, PHILADELPHIA, PA 19104(609) 865-6561 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Beverly Banks Randall M.d. NPPES

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

DR. BEVERLY BANKS RANDALL M.D. (NPI 1598862831) is an individual neonatal-perinatal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD051582L) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598862831
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. BEVERLY BANKS RANDALLCredential: M.D.
Location Address3401 CIVIC CENTER BLVD STE M975Philadelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd Ste M975Philadelphia, PA 19104-4319 · (609) 865-6561
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
NPI 1598862831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses Licensed in PA · MD051582L Licensed in VI · 1134
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

3401 CIVIC CENTER BLVD STE M975, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Beverly Banks Randall M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
3401 CIVIC CENTER BLVD STE M975
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Rheumatology)
3401 CIVIC CENTER BLVD STE M975
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Emergency Medicine)
3401 CIVIC CENTER BLVD STE M975
PHILADELPHIA, PA 19104
Pediatrics (Adolescent Medicine)
3401 CIVIC CENTER BLVD STE M975
PHILADELPHIA, PA 19104

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 Beverly Randall's NPI number?

The NPI number for Beverly Randall is 1598862831. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Beverly Randall located?

Beverly Randall practices at 3401 Civic Center Blvd Ste M975, Philadelphia, PA 19104. The listed phone number is (609) 865-6561.

What is Beverly Randall's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Beverly Randall enrolled in Medicare?

Yes. Beverly Randall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Beverly Randall was last updated on January 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.