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

DAVID RANDALL
NPI 1962232074
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Active since August 05, 2024PECOS Enrolled
PARKVIEW HEALTH 2200 RANDALLIA DR., FORT WAYNE, IN 46805(260) 373-7765 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Aug 5, 2024 (2 updates tracked since 2024).

About David Randall NPPES

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

DAVID RANDALL (NPI 1962232074) is an individual student in an organized health care education/training program in Fort Wayne, Indiana and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962232074
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID RANDALL
Location AddressPARKVIEW HEALTH 2200 RANDALLIA DR.Fort Wayne, IN 46805
Mailing AddressParkview Health 2200 Randallia Dr.Fort Wayne, IN 46805 · (260) 373-7765
Sole ProprietorNo
Enumeration DateAugust 5, 2024
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1962232074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
PARKVIEW HEALTH 2200 RANDALLIA DR., Fort Wayne, IN 46805

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Randall 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.

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 David Randall's NPI number?

The NPI number for David Randall is 1962232074. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is David Randall located?

David Randall practices at Parkview Health 2200 Randallia Dr., Fort Wayne, IN 46805. The listed phone number is (260) 373-7765.

What is David Randall's specialty?

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

Is David Randall enrolled in Medicare?

Yes. David Randall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Randall was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.