Randolph Diabetes and Wellness LLC
NPI 1609378991 · Adult Medicine Physician · Tampa, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randolph Diabetes and Wellness LLC is a Adult Medicine Physician organization in Tampa, FL (NPI 1609378991).
Provider details
- NPI number
- 1609378991
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Randolph, Owner/Manager(813) 846-7698
- License
- ARNP9318390 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-03-02
- Last updated
- 2021-05-12
- Certified
- 2021-05-12
Frequently asked questions
- What is Randolph Diabetes and Wellness LLC's NPI number?
- Randolph Diabetes and Wellness LLC's National Provider Identifier (NPI) is 1609378991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Randolph Diabetes and Wellness LLC?
- Randolph Diabetes and Wellness LLC is classified in the NPPES registry as Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Randolph Diabetes and Wellness LLC located?
- Randolph Diabetes and Wellness LLC's practice location on file with NPPES is 13047 W Linebaugh Ave Ste 102, Tampa, FL 33626-4487.
- What is Randolph Diabetes and Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Randolph Diabetes and Wellness LLC is (813) 475-6542.
- Does Randolph Diabetes and Wellness LLC accept Medicare?
- Randolph Diabetes and Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Randolph Diabetes and Wellness LLC?
- The authorized official listed on Randolph Diabetes and Wellness LLC's NPPES record is Kimberly Randolph, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Randolph Diabetes and Wellness LLC's NPI active?
- Yes — Randolph Diabetes and Wellness LLC's NPI (1609378991) is active in the NPPES registry as of the last update on 2021-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.