TIENNE RANDOLPH MD
NPI 1760820831
Obstetrics & Gynecology in Indianapolis, IN

Q: What is Tienne Randolph's NPI number?

The NPI number for Tienne Randolph is 1760820831. It was assigned to this individual provider in the NPPES registry on June 11, 2013. The provider is also known as Tienne Wong MD.

Q: What is Tienne Randolph's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tienne Randolph was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 June 11, 2013PECOS EnrolledAccepts Medicare Assignment

8051 S EMERSON AVE STE 400, INDIANAPOLIS, IN 46237(317) 865-3600(317) 885-3850 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2025, Jun 13, 2024, Jul 21, 2022 and 7 more (10 updates tracked since 2017).

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About Tienne Randolph Md NPPES

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

TIENNE RANDOLPH MD (NPI 1760820831) is an individual obstetrics & gynecology provider in Indianapolis, Indiana, licensed in Indiana (01078766A) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760820831

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameTIENNE RANDOLPHCredential: MD

Location Address8051 S EMERSON AVE STE 400Indianapolis, IN 46237-8633

Mailing Address8051 S Emerson Ave Ste 400Indianapolis, IN 46237-8633 · (317) 865-3600 · Fax (317) 885-3850

Phone(317) 865-3600

Fax(317) 885-3850

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2013

Enumeration DateJune 11, 2013

Last NPPES UpdateMarch 4, 202510 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1760820831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IN · 01078766A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

8051 S EMERSON AVE STE 400, Indianapolis, IN 46237

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Other Names 1

Former Name (1)Tienne Wong Md

Secondary Practice Locations 2

Location 1550 University Blvd, Room 2440Indianapolis, IN 46202-5149 · Phone (317) 948-5923 · Fax (317) 948-7454

Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Other01078766AIN · License

Medicaid300017269IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tienne Randolph Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294979597

PECOS Enrollment IDI20170829000267

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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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.

JONATHAN BAKER LUPTON M.D.

Obstetrics & Gynecology