DR. BERYL LYNN RANDOLPH (M.D.) – Obstetrics & Gynecology Physician, NPI 1205845393

DR. BERYL LYNN RANDOLPH (M.D.) is a healthcare provider. based in Houston, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. N4026 (TX). The NPI Number for DR. BERYL LYNN RANDOLPH (M.D.) is 1205845393

Main info

Female
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. BERYL LYNN RANDOLPH (M.D.)
NPI
1205845393
Phone
(713) 426-0027
Address
2150 W 18th St Ste 300
Enumeration Date
6 August 2006
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8328907225
Graduation Year
1984 (42 years ago)
PAC ID
0446201636
Group Practice PAC ID
6608977095
Professional Enrollment ID
I20100113000663
Address ID
TX770081289HO2150XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for DR. BERYL LYNN RANDOLPH (M.D.)

  • 2150 W 18th St Ste 300

    Houston, TX 770081289

    Phone: (713) 426-0027

    Fax: (832) 209-7186

    Type: Location

  • 2150 W 18TH ST STE 300

    HOUSTON, TX 770081289

    Phone: (713) 426-0027

    Fax: (832) 209-7186

    Type: Mailing

  • 14095 S. MAIN ST. HOUSTON, TX 77035

    HOUSTON, TX 77035

    Phone: (713) 426-0027

    Fax: (832) 209-7186

    Type: Location

  • 1910, John Ralston Road, North Shore, Houston, Harris County, Texas, 77013, United States

    SUITE 100

    HOUSTON, TX 77013

    Phone: (713) 451-3030

    Fax: (713) 451-6657

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Organon LLC ($32).

Total Amount

$104

General + Research + Ownership

Payments

6

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2010-01-13

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
I20100113000663IObstetrics/GynecologyTXTBD

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 77008)

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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: 6608977095View full group profile
NameSpecialtyState
Family PracticeTX
Nurse PractitionerTX
P S Y C H I A T R YCA
Obstetrics/Gynecology, Family PracticeTX
Nurse PractitionerWI
Family PracticeTX
Neurology, PsychiatryTX
Infectious Disease, Internal MedicineTX
Internal MedicineTX
Internal MedicineTX

Reviews

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Frequently asked questions

How is DR. BERYL LYNN RANDOLPH (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. BERYL LYNN RANDOLPH (M.D.) with NPI 1205845393.
Does the file indicate DR. BERYL LYNN RANDOLPH (M.D.) is practicing under active NPI?
Directory data currently reports DR. BERYL LYNN RANDOLPH (M.D.) as active.
What healthcare role does DR. BERYL LYNN RANDOLPH (M.D.) hold?
Scheduling teams often label DR. BERYL LYNN RANDOLPH (M.D.) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BERYL LYNN RANDOLPH (M.D.) on a map?
Expect Houston, Texas as a primary anchor for DR. BERYL LYNN RANDOLPH (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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