Randolph Del Castillo Senining, MD
NPI 1841216405ActiveIndividual· Internal Medicine, Infectious Disease· Bakersfield, CA
Internal Medicine, Infectious Disease (MD) with Ravi Patel M D Inc, practicing in Bakersfield, California. In 2024 Medicare paid $305,096 for 572 patients, and Part D covered 521 of their prescriptions, 79% of them generic. Paratek Pharmaceuticals, Inc. was the largest of 2 companies reporting payments in 2025, $42.86 in all, mostly food and beverage. Lists Adventist Health Bakersfield and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1841216405 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 15, 2006 |
| Last updated in NPPES | Sep 11, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | A71636 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 572 |
|---|---|
| Services billed | 4,111 across 40 procedure codes |
| Paid by Medicare | $305,096 |
Part D prescriptions in 2024
| Prescriptions (claims) | 521 · 597 30-day fills |
|---|---|
| Patients | 122 |
| Total drug cost | $444,999 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Infectious Disease |
Medical group
- Ravi Patel M D IncBakersfield, CA · 18 clinicians
Hospital affiliations
- Adventist Health BakersfieldBakersfield, CA
- Bakersfield Memorial HospitalBakersfield, CA
- Mercy HospitalBakersfield, CA
Other facilities
- Adventist Health Home Care ServicesHome health agency · Bakersfield, CA
- Around the Clock Home CareHome health agency · Bakersfield, CA
- Gifted Arms Home Healthcare ServicesHome health agency · Bakersfield, CA
- Mercy-Memorial Home HealthHome health agency · Bakersfield, CA
- Reliable Healthcare LLCHome health agency · Bakersfield, CA
Industry payments (Open Payments)
- 2025$42.86 · 2 payments from 2 companies
- 2024$34.50 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Paratek Pharmaceuticals, Inc. | $25.32 | 1 |
| Sobi, Inc | $17.54 | 1 |
What the 2025 payments were for
- Food and Beverage$42.86 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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