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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment
17850 KEDZIE AVE, 3200, HAZEL CREST, IL 60429(708) 798-8112(708) 798-9016 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2026, Nov 19, 2025, Aug 13, 2020 (3 updates tracked since 2020).

About Randolph M Mcconnie Md NPPES

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

RANDOLPH M MCCONNIE MD (NPI 1770580706) is an individual pediatric gastroenterology provider in Hazel Crest, Illinois, licensed in Illinois (036-079072) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Albany Medical College Of Union University (1981).

NPPES Registry Identity

NPI1770580706
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameRANDOLPH M MCCONNIECredential: MD
Location Address17850 KEDZIE AVE, 3200Hazel Crest, IL 60429-2058
Mailing Address225 E Chicago AveChicago, IL 60611-2991 · (312) 227-4000
Phone(708) 798-8112
Fax(708) 798-9016
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1981
Enumeration DateJuly 5, 2005
Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1770580706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in IL · 036-079072
Definition
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.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 036079072 (IL)
17850 KEDZIE AVE, Hazel Crest, IL 60429
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Other Identifiers 1

Medicaid036079072IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Randolph M Mcconnie Md 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.

PECOS PAC ID2466418553
PECOS Enrollment IDI20041209000992
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

VARSHA BHAN MD SC
Clinic/Center (Primary Care)
17850 KEDZIE AVE, SUITE 1700
HAZEL CREST, IL 60429
Cook County (708) 669-1630
DR. SHAMA R. MEHTA M.D.
Internal Medicine (Gastroenterology)
17850 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 957-4011
NEILESH SHAH MD
Family Medicine
17850 KEDZIE AVE, 3200
HAZEL CREST, IL 60429
Cook County (708) 798-8112
DR. DAVID DREYFUSS M.D,
Plastic Surgery
17850 KEDZIE AVE, SUITE 2200
HAZEL CREST, IL 60429
Cook County (708) 799-9782
AUNT MARTHA'S YOUTH SERVICE CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
17850 KEDZIE AVE, SUITE 3200
HAZEL CREST, IL 60429
Cook County (708) 335-5201
CHRISTOPHER T. KARDASIS M.D., S.C.
Ophthalmology
17850 KEDZIE AVE, DOCTORS PAVILION SUITE 1200
HAZEL CREST, IL 60429
Cook County (708) 799-3720
MOTILAL A. BHATIA M.D.
Internal Medicine (Gastroenterology)
17850 KEDZIE AVE, 2100
HAZEL CREST, IL 60429
Cook County (708) 957-4010
SUBBA RAO MD SC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
17850 KEDZIE AVE, SUITE 3000
HAZEL CREST, IL 60429
Cook County (708) 798-7878

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 Randolph Mcconnie's NPI number?

The NPI number for Randolph Mcconnie is 1770580706. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Randolph Mcconnie located?

Randolph Mcconnie practices at 17850 Kedzie Ave 3200, Hazel Crest, IL 60429. The listed phone number is (708) 798-8112.

What is Randolph Mcconnie's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Randolph Mcconnie enrolled in Medicare?

Yes. Randolph Mcconnie 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.

What insurance does Randolph Mcconnie accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Randolph Mcconnie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Randolph Mcconnie affiliated with any hospitals?

According to CMS data, Randolph Mcconnie is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Randolph Mcconnie was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.