DR. RANDALL W MADISON M.D.
NPI 1184610149
Family Medicine in Overland Park, KS

Active since September 26, 2005
11725 W 112TH ST, OVERLAND PARK, KS 66210(913) 469-5579(913) 338-1311 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Randall W Madison M.d. NPPES

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

DR. RANDALL W MADISON M.D. (NPI 1184610149) is an individual family medicine provider in Overland Park, Kansas, licensed in Kansas (0422230) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1184610149
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RANDALL W MADISONCredential: M.D.
Location Address11725 W 112TH STOverland Park, KS 66210-2761
Mailing AddressPo Box 741331Atlanta, GA 30374-1331 · (913) 469-0503 · Fax (913) 469-5267
Fax(913) 338-1311
Sole ProprietorNo
Enumeration DateSeptember 26, 2005
Last NPPES UpdateDecember 31, 2012
NPI 1184610149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KS · 0422230
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11725 W 112TH ST, Overland Park, KS 66210

Other Identifiers 2

Medicare ID-Type Unspecified5536940A
Medicare UPINC51386

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
11725 W 112TH ST
OVERLAND PARK, KS 66210
Allergy & Immunology
11725 W 112TH ST
OVERLAND PARK, KS 66210
Physician Assistant
11725 W 112TH ST
OVERLAND PARK, KS 66210
Clinical Medical Laboratory
11725 W 112TH ST
OVERLAND PARK, KS 66210
Family Medicine
11725 W 112TH ST
OVERLAND PARK, KS 66210
Family Medicine
11725 W 112TH ST
OVERLAND PARK, KS 66210
Physician Assistant
11725 W 112TH ST
OVERLAND PARK, KS 66210
Nurse Practitioner (Family)
11725 W 112TH ST
OVERLAND PARK, KS 66210

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 Randall Madison's NPI number?

The NPI number for Randall Madison is 1184610149. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Randall Madison located?

Randall Madison practices at 11725 W 112th St, Overland Park, KS 66210. The listed phone number is (913) 469-5579.

What is Randall Madison's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Randall Madison was last updated on December 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.