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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: October 18, 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
Phone(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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Beverly Randall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Health Care Associates, Inc
Same address
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group
NPI 1033204086 (215) 590-1000

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 4

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

DR. CYNTHIA MARIE SCHULTZ M.D.
Pediatrics (Neonatal-Perinatal Medicine)
3401 CIVIC CENTER BLVD STE M975
PHILADELPHIA, PA 19104
Philadelphia County (215) 829-3191
MALKI PESKIN MD
Pediatrics (Pediatric Rheumatology)
3401 CIVIC CENTER BLVD STE M975
PHILADELPHIA, PA 19104
Philadelphia County (516) 680-3200
FIONA AYESHA PIRROCCO DO
Pediatrics (Pediatric Emergency Medicine)
3401 CIVIC CENTER BLVD STE M975
PHILADELPHIA, PA 19104
Philadelphia County (570) 688-7059
DR. JULIA C DURANTE MD
Pediatrics (Adolescent Medicine)
3401 CIVIC CENTER BLVD STE M975
PHILADELPHIA, PA 19104
Philadelphia County (267) 769-2699

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.

Which organization bills Medicare for Beverly Randall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Randall reassigns Medicare benefits to Childrens Health Care Associates, Inc (Philadelphia, PA). The 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 Beverly Randall'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 Beverly Randall was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.