RANDOLPH ROBERTS (MD) – Diagnostic Radiology Physician, NPI 1659368017

RANDOLPH ROBERTS (MD) is a healthcare provider. based in Merrillville, Indiana. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 01036988 (IN). The NPI Number for RANDOLPH ROBERTS (MD) is 1659368017

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
RANDOLPH ROBERTS (MD)
NPI
1659368017
Phone
(219) 769-1670
Address
55 E 86TH AVE
Enumeration Date
30 September 2005
Last Update Date
25 January 2012

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2197576320
Graduation Year
1984 (42 years ago)
PAC ID
9133155070
Group Practice PAC ID
1254503345
Professional Enrollment ID
I20050712001222
Address ID
IN463078481CR1201XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

847 DIAGNOSTIC RADIOLOGY in IN

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Provider Addresses for RANDOLPH ROBERTS (MD)

  • 55, East 86th Avenue, Merrillville, Ross Township, Lake County, Indiana, 46410, United States

    PO BOIX 10645

    MERRILLVILLE, IN 464106382

    Phone: (219) 769-1670

    Fax: (219) 738-6714

    Type: Mailing

  • 1201, South Main Street, Crown Point, Center Township, Lake County, Indiana, 46307, United States

    CROWN POINT, IN 463078481

    Phone: (219) 757-6320

    Fax: (219) 738-6714

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050712001222IDiagnostic RadiologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view1,062983$0
74177Ct scan of abdomen and pelvis with contrast880775$0
71250Ct scan of chest without contrast694663$0
70450Ct scan head or brain without contrast671648$0
71046X-ray of chest, 2 views543523$0
View full utilization report →

Insurance plans in this area (ZIP 46410)

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Provider's Procedures

RANDOLPH ROBERTS (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIN71250CT scan chest277268
DIAGNOSTIC RADIOLOGYIN73110X-ray of wrist, minimum of 3 views2725
DIAGNOSTIC RADIOLOGYIN73562X-ray of knee, 3 views8750
DIAGNOSTIC RADIOLOGYIN73630X-ray of foot, minimum of 3 views4645
DIAGNOSTIC RADIOLOGYIN74177CT scan of abdomen and pelvis with contrast446431
DIAGNOSTIC RADIOLOGYIN76830Ultrasound pelvis through vagina3636
DIAGNOSTIC RADIOLOGYIN93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254503345View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Diagnostic RadiologyNY
Diagnostic RadiologyCO
Diagnostic RadiologyIL
Diagnostic RadiologyIN
-WI
Diagnostic RadiologyIL
Diagnostic RadiologyIN
Diagnostic RadiologyIL
Diagnostic RadiologyHI

Reviews

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Frequently asked questions

Can I verify RANDOLPH ROBERTS (MD) with an NPI only?
You can start verification with NPI 1659368017 for RANDOLPH ROBERTS (MD), then check state licensing separately.
Is RANDOLPH ROBERTS (MD) listed as active for patients and plans?
The listing shows RANDOLPH ROBERTS (MD) as active in the NPI system.
What is RANDOLPH ROBERTS (MD) best known for clinically?
Directory data describes RANDOLPH ROBERTS (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does RANDOLPH ROBERTS (MD) serve?
RANDOLPH ROBERTS (MD)'s listing highlights Merrillville, Indiana; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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