Doctor profile · Federal record
Dr. Randall Funnamark, DO
Internal Medicine Physician (CMS: Internal Medicine) · Internal Medicine Physician · Henderson, NV
- NPI 1992379531
- Accepts Medicare
- 5 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
10624 S Eastern Ave # A-955
Henderson, NV 890522982
(702) 800-5393
fax (702) 407-7016
Credentials & registration
- NPI registered
- May 2021 — 5 yrs on file
- Profile last updated
- June 24, 2024
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State licenses (2)
- Nevada #DO3644 · Nevada #SL1722
- Medicaid
- NV #1992379531
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1992379531. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$42
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 2 | $41.86 |
By nature of payment
Frequently asked questions
What is Dr. Randall Funnamark's medical specialty?
Dr. Randall Funnamark practices Internal Medicine Physician in Henderson, NV.
Where does Dr. Randall Funnamark practice?
Dr. Randall Funnamark practices at 10624 S Eastern Ave # A-955, Henderson, NV 890522982. Office phone: 7028005393.
What is Dr. Randall Funnamark's NPI?
Dr. Randall Funnamark's National Provider Identifier (NPI) is 1992379531, issued by NPPES.
Does Dr. Randall Funnamark accept Medicare assignment?
Yes. Dr. Randall Funnamark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.