Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

12th Medical Group Randolph

Q: What is the NPI number for 12th Medical Group Randolph?

The NPI for 12th Medical Group Randolph is 1316911597, a Type 2 (organization) record in the CMS NPPES registry.

Military/U.S. Coast Guard Outpatient Clinic/Center in Randolph A F B, TX · enumerated 2006 · authorized official Serena Hansken, Air Force Uniform Business Office.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316911597

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Registry record

Entity type Organization (Type 2)

Legal business name 12th Medical Group Randolph

Other name <Unavail>

Practice address 221 3rd St W, Bldg 1040, Randolph A F B, TX, 78150

Phone (210) 652-2420

Fax (210) 652-6571

Enumeration date Feb 15, 2006

Last updated in NPPES Nov 15, 2010

Taxonomy & classification

261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center Ambulatory Health Care Facilities Primary

261QM1101X Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Ambulatory Health Care Facilities Secondary

332000000X Military/U.S. Coast Guard Pharmacy Suppliers Secondary

Authorized official

Name Serena Hansken

Title Air Force Uniform Business Office

Phone (703) 588-6419

Other identifiers

Identifier	Type	State	Issuer
4512908	Other	TX	NCPDP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for 12th Medical Group Randolph?

NPPES lists Serena Hansken (Air Force Uniform Business Office) as the authorized official for this organization.

What is the NPI number for 12th Medical Group Randolph?

The NPI for 12th Medical Group Randolph is 1316911597, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Steven Stanek Optometrist · Randolph A F B, TX NPI 1528060027 Jesse Richardson Specialist · Randolph A F B, TX NPI 1801889860 Kathy Hagerman Pediatric Nurse Practitioner · Randolph Afb, TX NPI 1023003324 Ian Gregory Family Medicine Physician · Jbsa Randolph, TX NPI 1790771210 John Mcdonald General Practice Dentistry · Randolph A F B, TX NPI 1023004405 John Hudson General Practice Dentistry · Randolph A F B, TX NPI 1518954791 Kevin Kaps Family Medicine Physician · Randolph Afb, TX NPI 1124016605 Catherine Biersack Pediatrics Physician · Randolph A F B, TX NPI 1003805623

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-15.