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DR. ALLISON B RANDOLPH V MD, MBA
NPI 1609565886
Student in an Organized Health Care Education/Training Program in Middletown, NY

Active since May 03, 2023PECOS Enrolled
707 E MAIN STREET, MIDDLETOWN, NY 10940(845) 333-7373 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 5, 2024, May 7, 2023 (2 updates tracked since 2023).

About Dr. Allison B Randolph V Md, Mba NPPES

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

DR. ALLISON B RANDOLPH V MD, MBA (NPI 1609565886) is an individual student in an organized health care education/training program in Middletown, New York and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1609565886
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ALLISON B RANDOLPH VCredential: MD, MBA
Location Address707 E MAIN STREETMiddletown, NY 10940
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704
Phone(845) 333-7373
Sole ProprietorNo
Enumeration DateMay 3, 2023
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1609565886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
707 E MAIN STREET, Middletown, NY 10940
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Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-8893

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. Allison B Randolph V Md, Mba 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

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

LORRAINE K. PORCARO RN
Registered Nurse (Diabetes Educator)
707 E MAIN STREET, DIABETES ROOM 2225E
MIDDLETOWN, NY 10940
Orange County (845) 333-2495

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 Allison Randolph's NPI number?

The NPI number for Allison Randolph is 1609565886. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Allison Randolph located?

Allison Randolph practices at 707 E Main Street, Middletown, NY 10940. The listed phone number is (845) 333-7373.

What is Allison Randolph's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Allison Randolph enrolled in Medicare?

Yes. Allison Randolph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Allison Randolph was last updated on June 5, 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.