Jared Randall
NPI 1124873070 · Physician Assistant · Baltimore, MD
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jared Randall is a Physician Assistant provider in Baltimore, MD (NPI 1124873070).
Provider details
- NPI number
- 1124873070
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- C0009955 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-23
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Frequently asked questions
- What is Jared Randall's NPI number?
- Jared Randall's National Provider Identifier (NPI) is 1124873070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jared Randall's specialty?
- Jared Randall is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jared Randall located?
- Jared Randall's practice location on file with NPPES is 2401 W Belvedere Ave, Baltimore, MD 21215-5270.
- What is Jared Randall's phone number?
- The practice phone number listed in the NPPES registry for Jared Randall is (501) 557-8282.
- Does Jared Randall accept Medicare?
- Jared Randall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jared Randall's NPI active?
- Yes — Jared Randall's NPI (1124873070) is active in the NPPES registry as of the last update on 2025-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.