KERRY RANDOLPH M.D.
NPI 1063531390
Internal Medicine in Springfield, MO

NPI Status: Active since March 28, 2007

Contact Information

3525 S NATIONAL AVE
STE 101
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-5711

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  • Individual
  • Male
  • Internal Medicine

About KERRY RANDOLPH

This page provides the complete NPI Profile along with additional information for Kerry Randolph, an internist established in Springfield, Missouri with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1063531390 assigned on March 2007. The practitioner's primary taxonomy code is 207R00000X with license number R9C05 (MO). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1063531390
Provider Name
KERRY RANDOLPH M.D.
Gender
Male
Entity Type
Individual
Location Address
3525 S NATIONAL AVE STE 101 SPRINGFIELD, MO 65807
Location Phone
(417) 269-5711
Mailing Address
PO BOX 4046 SPRINGFIELD, MO 65808
Mailing Phone
(417) 269-6262
Is Sole Proprietor?
No
Enumeration Date
03-28-2007
Last Update Date
07-08-2007
Code Navigator

An internist like Kerry Randolph is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
R9C05
License State
MO
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
27694OTHER (01)ANTHEM BLUECROSS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063531390, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 0 + 3 + 2 + 3 + 1 + 8 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1063531390.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Specialist
3525 S NATIONAL AVE, STE 206
SPRINGFIELD, MO 65807
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3525 S NATIONAL AVE, SUITE 102
SPRINGFIELD, MO 65807
Family Medicine
3525 S NATIONAL AVE, SUITE 202
SPRINGFIELD, MO 65807
Family Medicine
3525 S NATIONAL AVE, SUITE 202
SPRINGFIELD, MO 65807
Internal Medicine
3525 S NATIONAL AVE, SUITE 206
SPRINGFIELD, MO 65807
Specialist/Technologist (Athletic Trainer)
3525 S NATIONAL AVE
SPRINGFIELD, MO 65807
Pharmacist (Ambulatory Care)
3525 S NATIONAL AVE, SUITE 207
SPRINGFIELD, MO 65807
Obstetrics & Gynecology
3525 S NATIONAL AVE, SUITE 107
SPRINGFIELD, MO 65807
Nurse Practitioner
3525 S NATIONAL AVE, #101
SPRINGFIELD, MO 65807
Internal Medicine (Geriatric Medicine)
3525 S NATIONAL AVE, #207
SPRINGFIELD, MO 65807
Preventive Medicine (Aerospace Medicine)
3525 S NATIONAL AVE, STE 101
SPRINGFIELD, MO 65807
Nurse Practitioner
3525 S NATIONAL AVE, #101
SPRINGFIELD, MO 65807
Preventive Medicine (Undersea and Hyperbaric Medicine)
3525 S NATIONAL AVE, STE 101
SPRINGFIELD, MO 65807
Clinic/Center
3525 S NATIONAL AVE, #101
SPRINGFIELD, MO 65807
Family Medicine
3525 S NATIONAL AVE, #307
SPRINGFIELD, MO 65807
Internal Medicine
3525 S NATIONAL AVE, SUITE 207
SPRINGFIELD, MO 65807

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063531390, enumerated as an "individual" on March 28, 2007.

The provider is located at 3525 S NATIONAL AVE STE 101 SPRINGFIELD, MO 65807 and the phone number is (417) 269-5711.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.