Kyle Randall, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Ontario, Ohio. He went to Ohio State University College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice North Central Ohio Family Care Center Inc and his current practice location is
715 Richland Mall, Ontario, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 709-8645.
Kyle Randall is licensed to practice in Ohio (license number 35.124114) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750554218.
Physician's Profile
Full Name | Kyle Randall |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 10 Years |
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Location | 715 Richland Mall, Ontario, Ohio |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kyle Randall attended and graduated from Ohio State University College Of Medicine in 2014
NPI Data:
- NPI Number: 1750554218
- Provider Enumeration Date: 04/04/2008
- Last Update Date: 01/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416174339
- Enrollment ID: I20140815001597
Medical Identifiers
Medical identifiers for Kyle Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750554218 | NPI | - | NPPES |
2197144 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 35.124114 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
North Central Ohio Family Care Center Inc | 3274437082 | 176 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyle Randall allows following entities to bill medicare on his behalf.
Entity Name | North Central Ohio Family Care Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689822827 PECOS PAC ID: 3274437082 Enrollment ID: O20031124000232 |
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Entity Name | Galion Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215907522 PECOS PAC ID: 5496737439 Enrollment ID: O20040603000930 |
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Entity Name | Bucyrus Community Hospital, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629372461 PECOS PAC ID: 0749460673 Enrollment ID: O20110309000381 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Randall is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kyle Randall, MD 700 N Columbus St, Crestline, OH 44827-1455 Ph: () - | Kyle Randall, MD 715 Richland Mall, Ontario, OH 44906-3802 Ph: (419) 709-8645 |
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