DR. MARTINE NZUNGIZE RANDOLPH (MD) – Family Medicine Physician, NPI 1003444845

DR. MARTINE NZUNGIZE RANDOLPH (MD) is a healthcare provider. based in Takoma park, Maryland. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. D98612 (MD). The NPI Number for DR. MARTINE NZUNGIZE RANDOLPH (MD) is 1003444845

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARTINE NZUNGIZE RANDOLPH (MD)
NPI
1003444845
Phone
(866) 877-7258
Address
7676 NEW HAMPSHIRE AVE STE 220A
Enumeration Date
28 March 2020
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3014312972
Graduation Year
2020 (6 years ago)
PAC ID
2860842846
Group Practice PAC ID
6204722614
Professional Enrollment ID
I20240215001622
Address ID
MD209127514TA7676XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,494 FAMILY PRACTICE in MD

Provider Addresses for DR. MARTINE NZUNGIZE RANDOLPH (MD)

  • 7676 NEW HAMPSHIRE AVE STE 220A

    TAKOMA PARK, MD 209127514

    Phone: (866) 877-7258

    Fax: (301) 495-0318

    Type: Location

  • 9000 FRANKLIN SQUARE DR DEPT OF

    BALTIMORE, MD 212373901

    Phone: (443) 777-2000

    Fax: (443) 777-8489

    Type: Mailing

  • 633 HAMILTON ST NW

    WASHINGTON, DC 200114029

    Phone: (310) 400-2565

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$19
View all Open Payments →|Open Payments Risk Radar →

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: 2024-02-15

PECOS data refreshed: 2026-06-15

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
I20240215001622IFamily PracticeDCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20912)

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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: 6204722614View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerMD
Internal MedicineMD
Family PracticeMD
Nurse PractitionerMD
Family PracticeTX
Nurse PractitionerMD
Nurse PractitionerDC
Nurse PractitionerMD
Nurse PractitionerDC

Reviews

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Frequently asked questions

What federal number belongs to DR. MARTINE NZUNGIZE RANDOLPH (MD)?
The federal identifier for DR. MARTINE NZUNGIZE RANDOLPH (MD) is NPI 1003444845.
Is DR. MARTINE NZUNGIZE RANDOLPH (MD) currently active in the NPI registry?
CMS-published data lists DR. MARTINE NZUNGIZE RANDOLPH (MD) as an active registrant.
What does DR. MARTINE NZUNGIZE RANDOLPH (MD) treat or focus on?
Patients typically see DR. MARTINE NZUNGIZE RANDOLPH (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MARTINE NZUNGIZE RANDOLPH (MD)?
We surface Takoma Park, Maryland for DR. MARTINE NZUNGIZE RANDOLPH (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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