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Randolph J. Ceballo

NPI 1174026280ActiveIndividual· Developmental Therapist· Worcester, MA

Developmental Therapist in Worcester, Massachusetts, with an NPI issued in March 2018. Part D covered 13 prescriptions written in 2024.

Overview

NPI1174026280
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 15, 2018
Last updated in NPPESMar 15, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Developmental Therapist Primary222Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)13 · 13 30-day fills
Total drug cost$1,238

Medicare sources and data years

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