RANDOLPH MCCONNIE MD
NPI 1770580706
Pediatrics - Pediatric Gastroenterology in Hazel Crest, IL

NPI Status: Active since July 05, 2005

Contact Information

17850 KEDZIE AVE
3200
HAZEL CREST, IL
ZIP 60429
Phone: (708) 798-8112
Fax: (708) 798-9016

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  • Individual
  • Male
  • Pediatrics
  • Pediatric Gastroenterology
  • Accepts Insurance
  • PECOS Enrolled

About RANDOLPH MCCONNIE

This page provides the complete NPI Profile along with additional information for Randolph Mcconnie, a pediatrician established in Hazel Crest, Illinois with a medical specialization in Pediatrics, focusing in pediatric gastroenterology . The healthcare provider is registered in the NPI registry with number 1770580706 assigned on July 2005. The practitioner's primary taxonomy code is 2080P0206X with license number 036-079072 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1770580706
Provider Name
RANDOLPH MCCONNIE MD
Gender
Male
Entity Type
Individual
Location Address
17850 KEDZIE AVE 3200 HAZEL CREST, IL 60429
Location Phone
(708) 798-8112
Location Fax
(708) 798-9016
Mailing Address
PO BOX 967 TINLEY PARK, IL 60477
Is Sole Proprietor?
No
Enumeration Date
07-05-2005
Last Update Date
11-19-2025
Code Navigator

A pediatrician like Randolph Mcconnie is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 1201 S Main St
    Crown Point, IN 46307
    (219) 757-6000
  • 1725 W Harrison St
    Chicago, IL 60612
    (312) 942-3034
  • 1645 W Jackson Blvd
    Chicago, IL 60612
    (312) 942-3034
  • 1653 W Congress Pkwy
    Chicago, IL 60612
    (312) 942-3034
  • 1620 W Harrison St
    Chicago, IL 60612
    (800) 543-7362

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

Pediatrics Pediatric Gastroenterology

Taxonomy Code
2080P0206X
Type
Allopathic & Osteopathic Physicians
License No.
036-079072
License State
IL
Taxonomy Description
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RG0100XAllopathic & Osteopathic Physicians

Internal Medicine
Gastroenterology

036079072 (IL)

Insurance Plans Accepted

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

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

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
036079072MEDICAID (05)IL 

Medicare Participation & PECOS Enrollment Status

Randolph Mcconnie is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60429 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $138.86
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $34.71
  • Minimum New Patient Copayment $15.02
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.7
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $26.42
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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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 1770580706, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 7 → 14 → 5 5 → 10 → 1 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 4 + 0 + 1 + 0 + 8 + 0 + 7 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1770580706.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
17850 KEDZIE AVE, SUITE 3500
HAZEL CREST, IL 60429
Internal Medicine
17850 KEDZIE AVE, 3200
HAZEL CREST, IL 60429
Internal Medicine (Gastroenterology)
17850 KEDZIE AVE, 3200
HAZEL CREST, IL 60429
Plastic Surgery
17850 KEDZIE AVE, SUITE 2200
HAZEL CREST, IL 60429
Occupational Therapist (Hand)
17850 KEDZIE AVE, SUITE 2300
HAZEL CREST, IL 60429
Ophthalmology
17850 KEDZIE AVE, DOCTORS PAVILION SUITE 1200
HAZEL CREST, IL 60429
Obstetrics & Gynecology
17850 KEDZIE AVE, #2600
HAZEL CREST, IL 60429
Clinic/Center (Primary Care)
17850 KEDZIE AVE, SUITE 1700
HAZEL CREST, IL 60429
Thoracic Surgery (Cardiothoracic Vascular Surgery)
17850 KEDZIE AVE, SUITE 3000
HAZEL CREST, IL 60429
Clinic/Center (Federally Qualified Health Center (FQHC))
17850 KEDZIE AVE, SUITE 3200
HAZEL CREST, IL 60429
Internal Medicine
17850 KEDZIE AVE, SUITE 2200
HAZEL CREST, IL 60429
Internal Medicine (Gastroenterology)
17850 KEDZIE AVE, 3200
HAZEL CREST, IL 60429
Nurse Practitioner (Obstetrics & Gynecology)
17850 KEDZIE AVE
HAZEL CREST, IL 60429
Internal Medicine (Cardiovascular Disease)
17850 KEDZIE AVE, STE. 3600
HAZEL CREST, IL 60429
Family Medicine
17850 KEDZIE AVE, 3200
HAZEL CREST, IL 60429
Internal Medicine (Cardiovascular Disease)
17850 KEDZIE AVE
HAZEL CREST, IL 60429
Nurse Practitioner (Family)
17850 KEDZIE AVE
HAZEL CREST, IL 60429
Internal Medicine (Gastroenterology)
17850 KEDZIE AVE
HAZEL CREST, IL 60429
Internal Medicine (Gastroenterology)
17850 KEDZIE AVE, 2100
HAZEL CREST, IL 60429
Internal Medicine
17850 KEDZIE AVE, 3200
HAZEL CREST, IL 60429

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770580706, enumerated as an "individual" on July 05, 2005.

The provider is located at 17850 KEDZIE AVE 3200 HAZEL CREST, IL 60429 and the phone number is (708) 798-8112.

Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.