DR. RANDY EUGENE OLIVER M.D. NPI 1245219443

NPI Information

  • NPI: 1245219443
  • Provider Name: DR. RANDY EUGENE OLIVER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1203 W 10TH ST
    METROPOLIS, IL
    ZIP 62960
  • Phone: (618) 524-3795

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NPI Details

DR. Randy Eugene Oliver, M.D. is a family medicine in Metropolis, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Randy Eugene Oliver, M.D. NPI is 1245219443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1203 W 10TH ST
METROPOLIS, IL
ZIP 62960-433
Phone: (618) 524-3795
Fax: (618) 524-3211

The NPI 1245219443 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, clotting time (HCPCS:85610)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Stool analysis for blood, by fecal hemoglobin determination by immunoassay (HCPCS:82274)
  • Anticoagulant management of patient taking warfarin (HCPCS:93793)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/16/2006 and was last updated on 12/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036066914ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C68967MEDICARE UPINILLINOIS
20728102MEDICARE PINKENTUCKY
3000000042814OTHERKENTUCKYANTHEM BCBS OF KENTUCKY
4080175942OTHERRAILROAD MEDICARE
50006400033OTHERILLINOISBCBS OF ILLINOIS
61245219443MEDICAIDILLINOIS
7L40888MEDICARE PINILLINOIS
8036066914MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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