Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. RANDY M. KIRILUK
Active
Individual
DR. RANDY M. KIRILUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200801162
NC
207Q00000X
Family Medicine Physician
85057
GA
207Q00000X
Family Medicine Physician
ME111950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3882947
—
TN
05
—
3882949
—
TN
01
—
4101598
BLUE CROSS
TN
01
—
4101599
BLUE CROSS
TN
05
—
5909978
—
NC
01
—
P00254455
RAILROAD MEDICARE
TN
01
—
P00343209
RAILROAD MEDICARE
TN
Enumeration date
07/05/2006
Last updated
09/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up