ALBERT M RANDOLPH (MD) – Family Medicine Physician, NPI 1548245400

ALBERT M RANDOLPH (MD) is a healthcare provider. based in Walla walla, Washington. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD00030135 (WA). The NPI Number for ALBERT M RANDOLPH (MD) is 1548245400

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
ALBERT M RANDOLPH (MD)
NPI
1548245400
Phone
(509) 527-8151
Address
PO BOX 1398
Enumeration Date
13 December 2005
Last Update Date
24 June 2021

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
50952537201405
Graduation Year
1971 (55 years ago)
PAC ID
4587691928
Group Practice PAC ID
2264320837
Professional Enrollment ID
I20100927001397

Contacts

Secure Messaging
arandolph826037@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for ALBERT M RANDOLPH (MD)

  • Walla Walla Post Office, 85, Commercial Street, Walla Walla, Greater Hume Shire Council, New South Wales, 2659, Australia

    WALLA WALLA, WA 993620309

    Phone: (509) 527-8151

    Fax: (509) 527-8010

    Type: Mailing

  • 1111, South 2nd Avenue, Walla Walla, Walla Walla County, Washington, 99362, United States

    WALLA WALLA, WA 993624118

    Phone: (509) 527-8151

    Fax: (509) 527-8010

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 99362)

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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: 2264320837View full group profile
NameSpecialtyState
STACEY RENEE HAVEMAN (PHYSICIAN ASSISTANT)
Physician AssistantWA
Unknown Individual
-WA
DR. JOHN ERIC MOORE (D.O.)
-CA
LINDSAY A MICHAELSON (ARNP)
Nurse PractitionerWA
EMILY GRACE CASTILLO (ARNP)
Nurse PractitionerWA
JULIE A WUEST (M.D.)
-FL
DR. ERIC J JAUHIAINEN (M.D.)
-WA
DR. JOHN G SISLOW (M.D.)
-WA
DR. ERIC M BALL (M.D.)
-WA
MS. EVELYN BARBARA BOYD (M.A. CCC-SLP)
-WA

Reviews

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Frequently asked questions

What number should I use to identify ALBERT M RANDOLPH (MD) for billing?
Administrative and clinical systems typically use NPI 1548245400 for ALBERT M RANDOLPH (MD).
Should I treat ALBERT M RANDOLPH (MD) as an active provider?
Patients and plans typically see ALBERT M RANDOLPH (MD) as active in the national extract.
What services align with ALBERT M RANDOLPH (MD)'s listing?
ALBERT M RANDOLPH (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ALBERT M RANDOLPH (MD) tied to Walla Walla, Washington?
If you are local to Walla Walla, Washington, ALBERT M RANDOLPH (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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