DR. RANDOLPH B LYDE JR. M.D., PH.D.
NPI 1699411215
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Q: What is Randolph Lyde's NPI number?

The NPI number for Randolph Lyde is 1699411215. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Q: What is Randolph Lyde's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Randolph Lyde was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 06, 2022PECOS Enrolled

1 UNIVERSITY DRIVE C, PITTSBURGH, PA 15240(412) 822-3000 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Randolph B Lyde Jr. M.d., Ph.d. NPPES

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

DR. RANDOLPH B LYDE JR. M.D., PH.D. (NPI 1699411215) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699411215

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. RANDOLPH B LYDE JR.Credential: M.D., PH.D.

Location Address1 UNIVERSITY DRIVE CPittsburgh, PA 15240-1000

Mailing Address3600 Forbes Ave, Forbes Tower - Plaza Level Suite 140Pittsburgh, PA 15213

Phone(412) 822-3000

Sole ProprietorNo

Enumeration DateMay 6, 2022

Last NPPES UpdateJune 23, 2022

NPPES CertifiedJune 23, 2022

✔ NPI 1699411215 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.

1 UNIVERSITY DRIVE C, Pittsburgh, PA 15240

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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)

Dr. Randolph B Lyde Jr. M.d., Ph.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 11

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

ANTHONY GONZALES UNITE MSW

Social Worker

1 UNIVERSITY DRIVE C, WARD 5CB, BUILDING 29
PITTSBURGH, PA 15240

Allegheny County (412) 360-6066

KATHERINE WONG RPH

Pharmacist