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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADAM M RANDAZZO PA-C
NPI 1629868559
Physician Assistant in Port Huron, MI

Active since May 12, 2025PECOS Enrolled
1221 PINE GROVE AVE, PORT HURON, MI 48060(810) 987-5000 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam M Randazzo Pa-c NPPES

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

ADAM M RANDAZZO PA-C (NPI 1629868559) is an individual physician assistant in Port Huron, Michigan and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1629868559
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameADAM M RANDAZZOCredential: PA-C
Location Address1221 PINE GROVE AVEPort Huron, MI 48060-3511
Mailing Address2294 Zink Rd Apt 11Beavercreek, OH 45324-6216 · (586) 894-2457
Phone(810) 987-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 12, 2025
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1629868559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1221 PINE GROVE AVE, Port Huron, MI 48060
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam M Randazzo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800368820
PECOS Enrollment IDI20260610003525
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. MARGARET ANN GRESSLE ACNP-BC
Nurse Practitioner (Acute Care)
1221 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 987-5000
TRI HOSPITAL MRI CENTER
Clinic/Center (Magnetic Resonance Imaging (MRI))
1221 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 987-2428
AMY STOREY NP
Nurse Practitioner (Acute Care)
1221 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 987-5000
DR. PETER Y TSENG MD
Obstetrics & Gynecology
1221 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 985-2663
PHILIP ROSS LEPINE CRNA
Nurse Anesthetist, Certified Registered
1221 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 987-5000
RICHARD CRILL MD
Emergency Medicine
1221 PINE GROVE AVE, PORT HURON HOSPITAL EMERGENCY DEPT
PORT HURON, MI 48060
St. Clair County (810) 987-5000
KURT BRINKER
Physical Therapist
1221 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 987-5000
MICHAEL K PAUL M.D.
Emergency Medicine
1221 PINE GROVE AVE, MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT
PORT HURON, MI 48060
St. Clair County (810) 989-3300

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 Adam Randazzo's NPI number?

The NPI number for Adam Randazzo is 1629868559. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Adam Randazzo located?

Adam Randazzo practices at 1221 Pine Grove Ave, Port Huron, MI 48060. The listed phone number is (810) 987-5000.

What is Adam Randazzo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Adam Randazzo enrolled in Medicare?

Yes. Adam Randazzo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Randazzo was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.