BONNIE F RANDOLPH (MD) – Internal Medicine Physician, NPI 1497756258
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,131 EMERGENCY MEDICINE in TN
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Provider Addresses for BONNIE F RANDOLPH (MD)
6263, Poplar Avenue, Memphis, Shelby County, Tennessee, 38119, United States
SUITE 1052
MEMPHIS, TN 381194701
Phone: (901) 789-2124
Type: Location
605 CHESHIRE CIR
FRANKLIN, TN 370697191
Phone: (615) 646-9114
Fax: (615) 646-9114
Type: Mailing
PO BOX 941
HORN LAKE, MS 386370941
Phone: (901) 789-2124
Fax: (901) 844-1439
Type: Mailing
310 21ST AVE N
NASHVILLE, TN 372031846
Phone: (629) 253-5300
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: 2004-06-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040612000674 | I | Emergency Medicine | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 545 | 36 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 496 | 114 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 327 | 65 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 241 | 25 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 90 | 88 | $0 |
Insurance plans in this area (ZIP 38119)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Family Practice, Emergency Medicine | NY | |
| Internal Medicine | NY | |
| Nurse Practitioner | TX | |
| Internal Medicine | FL | |
| Nurse Practitioner | IL | |
| Internal Medicine | PA | |
| Internal Medicine | TX | |
| Internal Medicine, Hospitalist, Internal Medicine | IL | |
| Family Practice | FL |
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