DR. JOHN K RANDALL RPH MD NPI 1326076530

NPI Information

  • NPI: 1326076530
  • Provider Name: DR. JOHN K RANDALL, RPH, MD
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 124 SAGAMORE PKWY W
    WEST LAFAYETTE, IN
    ZIP 47906
  • Phone: (765) 463-6722

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NPI Details

DR. John K Randall, RPH, MD is a mohs-micrographic surgery dermatology in West Lafayette, IN with 40 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. John K Randall, RPH, MD NPI is 1326076530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1986

The provider's business location address is:

124 SAGAMORE PKWY W
WEST LAFAYETTE, IN
ZIP 47906-569
Phone: (765) 463-6722
Fax: (765) 463-0905

The NPI 1326076530 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.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Ultrasonic guidance for placement of radiation therapy fields (HCPCS:G6001)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Superficial and/or low voltage radiation treatment delivery (HCPCS:77401)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Oasis wound matrix, per square centimeter (HCPCS:Q4102)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
  • Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks (HCPCS:17314)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
  • Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15275)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less (HCPCS:14020)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Destruction of skin growth, 15 or more growths (HCPCS:17111)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) (HCPCS:J7308)
  • Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15271)
  • Application of light to destroy precancer skin growth (HCPCS:96567)
  • Simple radiation therapy planning (HCPCS:77261)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Repair of wound of trunk by transferring skin, 10.0 sq cm or less (HCPCS:14000)
  • Design and construction of simple radiation treatment device (HCPCS:77332)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Complicated or multiple drainage of skin abscess (HCPCS:10061)
  • Biopsy of ear (HCPCS:69100)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
  • Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm (HCPCS:14021)
  • Intermediate radiation therapy planning (HCPCS:77262)
  • Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas (HCPCS:77285)
  • Destruction of growth of eyelid margin, 1.0 cm or less (HCPCS:67850)
  • 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 6/28/2006 and was last updated on 12/19/2024.

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
1207ND0900XDermatologyDermatopathology01042716INDIANANo
2207N00000XDermatology01042716INDIANANo
3207ND0101XDermatologyMOHS-Micrographic Surgery01042716INDIANAYes

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
1200207110AMEDICAIDINDIANA
2000000092649OTHERINDIANABCBS
3100415730AMEDICAIDINDIANA
401042716BOTHERINDIANACSR
501042716OTHERINDIANALICENSE

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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