RANDA RAZZOUK (MD) – Pediatric Nephrology Physician, NPI 1558511071

RANDA RAZZOUK (MD) is a healthcare provider. based in Fort worth, Texas. specializing in NEPHROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. R3410 (TX). The NPI Number for RANDA RAZZOUK (MD) is 1558511071

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
RANDA RAZZOUK (MD)
NPI
1558511071
Phone
(682) 885-1855
Address
PO BOX 99371
Enumeration Date
19 September 2008
Last Update Date
13 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6823039300
Graduation Year
2005 (21 years ago)
PAC ID
8527286673
Group Practice PAC ID
7719884584
Professional Enrollment ID
I20170627000151
Address ID
TX761042710FO1500XSTXX300

Contacts

Secure Messaging
rrazzouk16437@CookChildrens.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

1,168 NEPHROLOGY in TX

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Provider Addresses for RANDA RAZZOUK (MD)

  • FT, R 42, Zieglöde, Frauenzell, Wiesent, Wörth an der Donau (VGem), Landkreis Regensburg, Bavaria, 93109, Germany

    FORT WORTH, TX 761990371

    Phone: (682) 885-1855

    Fax: (682) 885-6163

    Type: Mailing

  • PO BOX 733784

    DALLAS, TX 753733784

    Phone: (682) 885-1855

    Fax: (682) 885-1396

    Type: Mailing

  • Dodson Specialty Clinics, 1500, Cooper Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761042710

    Phone: (682) 885-4260

    Fax: (682) 885-2874

    Type: Location

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 $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: GENZYME CORPORATION ($119).

Total Amount

$140

General + Research + Ownership

Payments

2

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-06-27

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
I20170627000151INephrologyTXTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12617$0
View full utilization report →

Insurance plans in this area (ZIP 76199)

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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: 7719884584View full group profile
NameSpecialtyState
Pediatric Medicine, Cardiac ElectrophysiologyTX
-OK
-TX
H O S P I T A L I S TVA
-TX
-TX
-TX
Pulmonary Disease, Pediatric MedicineTX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What identifier follows RANDA RAZZOUK (MD) across health systems?
The NPI 1558511071 uniquely identifies RANDA RAZZOUK (MD) in U.S. healthcare data.
Is RANDA RAZZOUK (MD) currently accepting referrals based on NPI status?
Registry metadata lists RANDA RAZZOUK (MD) as active.
What services align with RANDA RAZZOUK (MD)'s listing?
RANDA RAZZOUK (MD)'s public classification highlights Pediatric Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is RANDA RAZZOUK (MD) tied to Fort Worth, Texas?
If you are local to Fort Worth, Texas, RANDA RAZZOUK (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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