RANDY RHODES – Nurse Practitioner, NPI 1659819753

RANDY RHODES is a healthcare provider. based in South euclid, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. SJ484684 (OH). The NPI Number for RANDY RHODES is 1659819753

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
RANDY RHODES
NPI
1659819753
Phone
(216) 849-4952
Address
1274 PLAINFIELD RD
Enumeration Date
8 February 2017
Last Update Date
8 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
6800171935
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20170331001701
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for RANDY RHODES

  • 1274, Plainfield Road, South Euclid, Cuyahoga County, Ohio, 44121, United States

    SOUTH EUCLID, OH 441212510

    Phone: (216) 849-4952

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $235.

Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.

Last reported payment date: 2024-05-13 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($235).

Total Amount

$235

General + Research + Ownership

Payments

2

Total payment records

General Amount

$235

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$235
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: 2017-03-31

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
I20170331001701INurse PractitionerOHTBD

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 44121)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Family PracticeOH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN

Reviews

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Frequently asked questions

How do payers reference RANDY RHODES?
For RANDY RHODES, use NPI 1659819753 as the unique 10-digit identifier.
Is there an active status for RANDY RHODES?
For scheduling context, RANDY RHODES is shown as active in the registry.
What area of care is associated with RANDY RHODES?
RANDY RHODES's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for RANDY RHODES?
Travel planning: use South Euclid, Ohio as the reference point for RANDY RHODES, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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