RANDOLPH M FREEMAN MD
NPI 1093801383
Anesthesiology - Pain Medicine in Belleville, IL

Q: What is Randolph Freeman's NPI number?

The NPI number for Randolph Freeman is 1093801383. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Randolph Freeman's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: When was this NPI record last updated?

The NPPES record for Randolph Freeman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 05, 2006PECOS Enrolled

4500 MEMORIAL DRIVE, BELLEVILLE, IL 62223(618) 257-4076 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Randolph M Freeman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDOLPH M FREEMAN MD (NPI 1093801383) is an individual pain medicine provider in Belleville, Illinois and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093801383

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameRANDOLPH M FREEMANCredential: MD

Location Address4500 MEMORIAL DRIVEBelleville, IL 62223

Mailing Address940 West Port Plaza, Ste 270St Louis, MO 63146 · (314) 453-0600 · Fax (314) 453-0083

Phone(618) 257-4076

Sole ProprietorNo

Enumeration DateOctober 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093801383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

4500 MEMORIAL DRIVE, Belleville, IL 62223

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Other Identifiers 2

Medicare UPINC15750

Medicare ID-Type UnspecifiedL25025IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randolph M Freeman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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