DR. RANDAL CIESLAK DO
NPI 1790168300
Family Medicine in Bangor, MI
About Dr. Randal Cieslak Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDAL CIESLAK DO (NPI 1790168300) is an individual family medicine provider in Bangor, Michigan, licensed in Michigan (EMC0008821) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Randal Cieslak Do 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.
Medicare Billing Reassignments
4Medicare enrollment records show Randal Cieslak reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Arlington, VA 22203
- Reassigned Medicare billing, Maryland enrollment
- 339 clinicians in this Medicare group
Arlington, VA 22203
- Reassigned Medicare billing, Maryland enrollment
- 668 clinicians in this Medicare group
Baltimore, MD 21224
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Baltimore Medical System, Inc.
- 243 clinicians in this Medicare group
Mesa, AZ 85205
- Reassigned Medicare billing, Arizona enrollment
- 110 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Frederick Health Hospital
Acute Care Hospitals · Frederick, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Randal Cieslak's NPI number?
The NPI number for Randal Cieslak is 1790168300. It was assigned to this individual provider in the NPPES registry on June 30, 2015.
Where is Randal Cieslak located?
Randal Cieslak practices at 520 Railroad St, Bangor, MI 49013. The listed phone number is (269) 427-5811.
What is Randal Cieslak's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Randal Cieslak enrolled in Medicare?
Yes. Randal Cieslak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Randal Cieslak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randal Cieslak reassigns Medicare benefits to 4 organizations: Privia Care Center LLC (Arlington, VA), Privia Medical Group, LLC (Arlington, VA), Baltimore Medical Systems, Inc. (Baltimore, MD) and Archwell Health Professional Services Of Arizona, LLC (Mesa, AZ). Each 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 Randal Cieslak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Randal Cieslak affiliated with any hospitals?
According to CMS data, Randal Cieslak is affiliated with Frederick Health Hospital.
When was this NPI record last updated?
The NPPES record for Randal Cieslak was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Randal Cieslak, DO · NPI 1790168300
Family Medicine physician in Bangor, Michigan. Individual provider, active in the CMS NPPES registry since June 30, 2015.
## Identity
- **NPI:** 1790168300 (Entity type: Individual)
- **Enumerated:** June 30, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** EMC0008821 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 520 RAILROAD ST, Bangor, MI 49013-1490
- **Phone:** (269) 427-5811 · **Fax:** (269) 427-6107
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Privia Care Center LLC (NPI 1164874426, Arlington, VA); Privia Medical Group, LLC (NPI 1013042480, Arlington, VA); Baltimore Medical Systems, Inc. (NPI 1164138152, Baltimore, MD); Archwell Health Professional Services Of Arizona, LLC (NPI 1558026880, Mesa, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790168300) · Data from the CMS NPPES public registry.