MS. KATE JOANNA RANDOLPH PA
NPI 1033939749
Physician Assistant - Medical in Sullivan, MO
About Ms. Kate Joanna Randolph Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KATE JOANNA RANDOLPH PA (NPI 1033939749) is an individual medical provider in Sullivan, Missouri, licensed in Missouri (2025000294) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Kate Joanna Randolph Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health Saint Louis University Hospital
Acute Care Hospitals · Saint Louis, MOMissouri Baptist Medical Center
Acute Care Hospitals · Town And Country, MOOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SULLIVAN, MO 63080
SULLIVAN, MO 63080
SULLIVAN, MO 63080
SULLIVAN, MO 63080
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kate Randolph's NPI number?
The NPI number for Kate Randolph is 1033939749. It was assigned to this individual provider in the NPPES registry on October 16, 2024.
Where is Kate Randolph located?
Kate Randolph practices at 751 Sappington Bridge Rd Dept Radiology, Sullivan, MO 63080. The listed phone number is (314) 996-5170.
What is Kate Randolph's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kate Randolph enrolled in Medicare?
Yes. Kate Randolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Kate Randolph affiliated with any hospitals?
According to CMS data, Kate Randolph is affiliated with Ssm Health Saint Louis University Hospital and Missouri Baptist Medical Center.
When was this NPI record last updated?
The NPPES record for Kate Randolph was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Kate Joanna Randolph, PA · NPI 1033939749
Medical physician in Sullivan, Missouri. Individual provider, active in the CMS NPPES registry since October 16, 2024.
## Identity
- **NPI:** 1033939749 (Entity type: Individual)
- **Enumerated:** October 16, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 2025000294 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 SAPPINGTON BRIDGE RD, DEPT RADIOLOGY, Sullivan, MO 63080-2354
- **Phone:** (314) 996-5170 · **Fax:** (314) 653-5832
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** November 3, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1033939749) · Data from the CMS NPPES public registry.