ANTHONY CASEY RANDOLPH – Certified Registered Nurse Anesthetist, NPI 1033440516

ANTHONY CASEY RANDOLPH is a healthcare provider. based in Dallas, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 723910 (TX). The NPI Number for ANTHONY CASEY RANDOLPH is 1033440516

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY CASEY RANDOLPH
NPI
1033440516
Phone
(972) 972-4851
Address
12222 N Central Expy Ste 340
Enumeration Date
22 January 2010
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2149477699
Graduation Year
2009 (17 years ago)
PAC ID
6901931708
Group Practice PAC ID
7315850351
Professional Enrollment ID
I20100318000561
Address ID
TX752373460DA3500XRDXX406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for ANTHONY CASEY RANDOLPH

  • 12222 N Central Expy Ste 340

    Dallas, TX 752433755

    Phone: (972) 972-4851

    Fax: (972) 556-5202

    Type: Location

  • Sunrise, Harrison County, Kentucky, United States

    SUITE 200

    SUNRISE, FL 333232853

    Phone: (954) 838-2371

    Type: Mailing

  • John Peter Smith Hospital, 1500, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761044917

    Phone: (817) 920-6864

    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: 2010-03-18

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
I20100318000561ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope4444$0
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance2926$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2727$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand2323$0
00630Anesthesia for other procedure on lower spine1919$0
View full utilization report →

Insurance plans in this area (ZIP 75243)

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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: 7315850351View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
-TX
-TX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

Can I use this page to confirm ANTHONY CASEY RANDOLPH's NPI?
Yes. ANTHONY CASEY RANDOLPH is listed with NPI 1033440516 in the public NPI dataset.
Does CMS list ANTHONY CASEY RANDOLPH as active?
Yes — ANTHONY CASEY RANDOLPH is active in the NPI listing used on this page.
What is ANTHONY CASEY RANDOLPH best known for clinically?
Directory data describes ANTHONY CASEY RANDOLPH with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does ANTHONY CASEY RANDOLPH list a practice location?
Patients near Dallas, Texas may find ANTHONY CASEY RANDOLPH in results; validate coverage separately.
Why does ANTHONY CASEY RANDOLPH have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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