DR. KATHERINE LETHA RANDOLPH DO
NPI 1972130607
Pediatrics - Pediatric Emergency Medicine in Kansas City, MO

Active since March 24, 2020PECOS Enrolled
2401 GILLHAM RD, KANSAS CITY, MO 64108(168) 234-3000(816) 302-9939 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Nov 25, 2025, Mar 24, 2020 (3 updates tracked since 2020).

About Dr. Katherine Letha Randolph Do NPPES

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

DR. KATHERINE LETHA RANDOLPH DO (NPI 1972130607) is an individual pediatric emergency medicine provider in Kansas City, Missouri, licensed in Missouri (2023025032) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972130607
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. KATHERINE LETHA RANDOLPHCredential: DO
Location Address2401 GILLHAM RDKansas City, MO 64108-4619
Mailing Address2401 Gillham Rd, Provider Enrollment DepartmentKansas City, MO 64108-4619 · (168) 234-3000 · Fax (816) 302-9939
Fax(816) 302-9939
Sole ProprietorNo
Enumeration DateMarch 24, 2020
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
NPI 1972130607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in MO · 2023025032
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 2023025032 (MO)
2401 GILLHAM RD, Kansas City, MO 64108

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Katherine Letha Randolph Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Nurse Practitioner (Family)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Pediatrics (Sleep Medicine)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Audiologist
2401 GILLHAM RD, HEARING AND SPEECH CLINIC
KANSAS CITY, MO 64108
Student in an Organized Health Care Education/Training Program
2401 GILLHAM RD
KANSAS CITY, MO 64108
Anesthesiologist Assistant
2401 GILLHAM RD
KANSAS CITY, MO 64108
Psychologist (Clinical)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Dentist (Pediatric Dentistry)
2401 GILLHAM RD
KANSAS CITY, MO 64108

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 Katherine Randolph's NPI number?

The NPI number for Katherine Randolph is 1972130607. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Katherine Randolph located?

Katherine Randolph practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (168) 234-3000.

What is Katherine Randolph's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Katherine Randolph enrolled in Medicare?

Yes. Katherine Randolph is registered in the Medicare PECOS enrollment system.

What insurance does Katherine Randolph accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Medica list Katherine Randolph 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 Katherine Randolph was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.