DR. RANDY LEE KELLERMAN CHIROPRACTOR
NPI 1790973881
Chiropractor in Kansas City, MO

Q: What is Randy Kellerman's NPI number?

The NPI number for Randy Kellerman is 1790973881. It was assigned to this individual provider in the NPPES registry on October 15, 2007.

Q: What is Randy Kellerman's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Randy Kellerman was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.

Active since October 15, 2007Accepts Medicare Assignment

7210 WORNALL RD, KANSAS CITY, MO 64114(816) 333-2533(816) 333-2586 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Randy Lee Kellerman Chiropractor NPPES

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

DR. RANDY LEE KELLERMAN CHIROPRACTOR (NPI 1790973881) is an individual chiropractor in Kansas City, Missouri, licensed in Missouri (2007030924) and active in the NPI registry since October 2007. He is a graduate of Cleveland Chiropractic College - Kansas City (2007).

NPPES Registry Identity

NPI1790973881

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. RANDY LEE KELLERMANCredential: CHIROPRACTOR

Location Address7210 WORNALL RDKansas City, MO 64114-1345

Mailing Address7210 Wornall RdKansas City, MO 64114-1345 · (816) 333-2533 · Fax (816) 333-2586

Phone(816) 333-2533

Fax(816) 333-2586

Sole ProprietorYes

Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2007

Enumeration DateOctober 15, 2007

Last NPPES UpdateDecember 20, 2007

✔ NPI 1790973881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MO · 2007030924

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

7210 WORNALL RD, Kansas City, MO 64114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randy Lee Kellerman Chiropractor 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 ID2264502269

PECOS Enrollment IDI20080603000340

Medicare Billing Reassignment

Medicare enrollment records show Randy Kellerman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Waldo Wellness Group PC

Same address

Family Medicine

7210 WORNALL RD
Kansas City, MO 64114

Reassigned Medicare billing, Missouri enrollment
3 clinicians in this Medicare group

NPI 1972761187 (816) 333-2533

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

261 services21 patients

Other Providers at the Same Location NPPES 3

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

DR. DAVID ALLEN DOVER D.C

Chiropractor

7210 WORNALL RD
KANSAS CITY, MO 64114

Jackson County (816) 333-2533

KC SPINE CARE LLC

Chiropractor

7210 WORNALL RD
KANSAS CITY, MO 64114

Jackson County (816) 333-2533

WALDO WELLNESS GROUP PC

Family Medicine

7210 WORNALL RD
KANSAS CITY, MO 64114

Jackson County (816) 333-2533

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 Randy Kellerman's NPI number?

The NPI number for Randy Kellerman is 1790973881. It was assigned to this individual provider in the NPPES registry on October 15, 2007.

Where is Randy Kellerman located?

Randy Kellerman practices at 7210 Wornall Rd, Kansas City, MO 64114. The listed phone number is (816) 333-2533.

What is Randy Kellerman's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Randy Kellerman enrolled in Medicare?

Yes. Randy Kellerman 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.

Which organization bills Medicare for Randy Kellerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Kellerman reassigns Medicare benefits to Waldo Wellness Group PC (Kansas City, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randy Kellerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randy Kellerman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and UnitedHealthcare list Randy Kellerman 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.

When was this NPI record last updated?

The NPPES record for Randy Kellerman was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.