Randall Rodgers, D.O.
Randall Rodgers, D.O. is an Interventional Pain Medicine Physician in Tyler, TX, registered under NPI 1104852888. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 13027 STATE HIGHWAY 155 S, Tyler, TX 75703. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| G0020 | TX | Interventional Pain Medicine Physician primary |
| G0020 | TX | Family Medicine Physician |
This provider holds licence G0020 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Family Practice
- PAC ID
- 0840261376
Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Interventional Pain Medicine covers
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. NUCC Health Care Provider Taxonomy, code 208VP0014X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | G0020 | TX | primary |
| 207Q00000X | Family Medicine Physician | G0020 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1104852888 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 24, 2006 |
| Last updated | Apr 30, 2026 |
| Status | Active |
| Sole proprietor | No |
| Credential | D.O. |
| Practice address |
13027 STATE HIGHWAY 155 S Tyler, TX 75703 (903) 839-1000 Fax (903) 839-4000 |
| Other identifiers |
8V0490
· BCBSTX (TX) P00342603 · RAILROAD MEDICARE (TX) 43848 · STERLING (TX) 1104852888 · BCBSTX (TX) 1287773-08 (TX) 663166 · STERLING MEDICARE ADVANTAGE (TX) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 8 | 5 | 2 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 7 | 5 | 4 | 8 | 7 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.