DR. RANDALL WHITAKER MAXEY MD PHD NPI 1700944279

NPI Information

  • NPI: 1700944279
  • Provider Name: DR. RANDALL WHITAKER MAXEY, MD PHD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 447 N PRAIRIE AVE
    INGLEWOOD, CA
    ZIP 90301
  • Phone: (310) 680-1810

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NPI Details

DR. Randall Whitaker Maxey, MD PHD is a nephrology internal medicine in Inglewood, CA with 54 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Randall Whitaker Maxey, MD PHD NPI is 1700944279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1972

The provider's business location address is:

447 N PRAIRIE AVE
INGLEWOOD, CA
ZIP 90301-413
Phone: (310) 680-1810
Fax: (310) 680-1811

The NPI 1700944279 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.

  • Membrane graft or membrane wrap, per square centimeter (HCPCS:Q4205)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (HCPCS:99349)
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (HCPCS:99348)
  • Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (HCPCS:99458)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (HCPCS:99350)
  • Physician or allowed practitioner re-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 a (HCPCS:G0179)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • 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)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 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)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (HCPCS:99215)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (HCPCS:99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (HCPCS:99213)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Testing of autonomic (sympathetic) nervous system function (HCPCS:95923)
  • Testing of autonomic nervous system function and heart rate response to deep breathing (HCPCS:95921)
  • Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes (HCPCS:99344)
  • Testing of autonomic (sympathetic and parasympathetic) nervous system function, at least 5 minutes of tilt (HCPCS:95924)

The enumeration date for this NPI number is 12/5/2006 and was last updated on 9/26/2019.

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
1207RN0300XInternal MedicineNephrologyC38014CALIFORNIAYes

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
100C380140MEDICAIDCALIFORNIA

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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