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RANDALL S. PASS MD
NPI 1831149228
Family Medicine in Marion, IL

Active since May 10, 2006
1506 S. SIOUX DR, MARION, IL 62959(618) 997-5270(618) 997-5029 Get Directions Write a Review

NPPES record last updated: July 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall S. Pass Md NPPES

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

RANDALL S. PASS MD (NPI 1831149228) is an individual family medicine provider in Marion, Illinois, licensed in Illinois (036-116809) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1831149228
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRANDALL S. PASSCredential: MD
Location Address1506 S. SIOUX DRMarion, IL 62959-0000
Mailing AddressPo Box 577Carterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-6860
Phone(618) 997-5270
Fax(618) 997-5029
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 7, 2012
✔ NPI 1831149228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036-116809✔ Licensed in WI · 41607
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.
1506 S. SIOUX DR, Marion, IL 62959
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Other Identifiers 11

Medicaid370966854023IL
OtherCF3444IL · Medicare Rail Road
Medicare PINK44551IL
Other10032052IL · Bcbs Shawnee Health
Medicaid036116809IL
Medicare UPING72936WI
Medicare PINK47726IL
Other10007546IL · Bcbs
Other163392IL · Health Alliance Shawnee Health Care
Medicare OSCAR/certification141106IL
Medicare OSCAR/certification640701IL

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 Pass's NPI number?

The NPI number for Randall Pass is 1831149228. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Randall Pass located?

Randall Pass practices at 1506 S. Sioux Dr, Marion, IL 62959. The listed phone number is (618) 997-5270.

What is Randall Pass'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 Pass was last updated on July 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.