James Keith Randolph, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Toledo, OH

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James Keith Randolph, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Toledo, Ohio. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Promedica Central Physicians and his current practice location is 3404 W Sylvania Ave, Toledo, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 251-1206.

James Keith Randolph is licensed to practice in Ohio (license number NA08155) 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 1922092485.

Contact Information

James Keith Randolph, CRNA
3404 W Sylvania Ave,
Toledo, OH 43623-4467
(419) 251-1206
Not Available

Map and Direction




Provider's Profile

Full NameJames Keith Randolph
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience20 Years
Location3404 W Sylvania Ave, Toledo, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James Keith Randolph graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1922092485
  • Provider Enumeration Date: 09/09/2005
  • Last Update Date: 12/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456304799
  • Enrollment ID: I20050225000667

Medical Identifiers

Medical identifiers for James Keith Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922092485NPI-NPPES
2541379MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704229515 (Michigan)Secondary
367500000XNurse Anesthetist, Certified Registered NA08155 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Promedica Toledo HospitalToledo, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Promedica Central Physicians2365348190827

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. James Keith Randolph allows following entities to bill medicare on his behalf.
Entity NameSouthwest Ohio Anesthesia Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588645188
PECOS PAC ID: 6901700640
Enrollment ID: O20031124000399
Entity NamePromedica Central Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226
Entity NameSouthwest Anesthesia Services Psc, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188129
PECOS PAC ID: 3779483631
Enrollment ID: O20040109000000
Entity NameOhio Anesthesia Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639348113
PECOS PAC ID: 9537222138
Enrollment ID: O20090108000069
Entity NameNorthstar Anesthesia Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417276429
PECOS PAC ID: 3173648300
Enrollment ID: O20100927000005

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. James Keith Randolph 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 AddressPractice Location Address
James Keith Randolph, CRNA
2200 Jefferson Ave, 4th Floor,
Toledo, OH 43604-7101

Ph: (419) 251-2673		James Keith Randolph, CRNA
3404 W Sylvania Ave,
Toledo, OH 43623-4467

Ph: (419) 251-1206

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Toledo, OH

Mr. John Scribner, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4452 Cullen Ln, Toledo, OH 43611
Phone: 419-215-6511    
Lyndsay Brentlinger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2142 N Cove Blvd, Toledo, OH 43606
Phone: 419-531-8808    Fax: 419-531-9342
Gregory Halstead, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2213 Cherry St, Toledo, OH 43608
Phone: 419-251-4524    Fax: 419-245-6018
Ms. Jamie L Nash, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2142 N Cove Blvd, Toledo, OH 43606
Phone: 419-471-4491    Fax: 419-479-6905
Christine Sophia Harwood, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 2213 Cherry St, Toledo, OH 43608
Phone: 419-251-3232    
Kellyn A Diller, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2142 N Cove Blvd, Toledo, OH 43606
Phone: 419-291-4491    Fax: 419-479-6905
Stacey Rissman, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2213 Cherry St, Toledo, OH 43608
Phone: 419-251-3232    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.