Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Randy M. Kiriluk, MD

Individual provider Family Medicine Physician · NPI 1639100191

Dr. Randy M. Kiriluk, MD is a Family Practice in Tampa, Florida. Graduated from University of Tennessee, Hsc, College of Medicine in 1987, 39 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida, Georgia and North Carolina.

Years since qualifying
39
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
FL, GA, NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10609 Lucaya Dr
Tampa, FL 33647-3666
Phone: (843) 742-9888
Fax: (813) 973-0839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 200801162 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME111950 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 85057 (GA)

Record details

NPI number1639100191
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 5, 2006
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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