Randy Bain, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2378 Issued in NE

Practice address

2731 Healthcare Dr
Syracuse, NE 68446-7880

Phone

(402) 269-7644

NPI assigned

Jun 19, 2014

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Memorial Hospital DistrictGroup PAC ID 7517856859, shared by 6 NPIs, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eventide Home Health Care Home health agency, Lincoln, NE, CCN 287002
• Good Samaritan Society Home Care of Southeast NE Home health agency, Auburn, NE, CCN 287115
• Syracuse Area Health Hospital, Syracuse, NE, CCN 281309
• Good Samaritan Society - Syracuse Nursing home, Syracuse, NE, CCN 285138

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bain0744@syracuseareahealth.cernerdirect.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FHAFCD/Endpoint/FHAFCD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Community Memorial Hospital District

  dba Syracuse Area Health (Weeping Water)

  • Rural Health Clinic/Center
  • Weeping Water, NE
  • NPI 1952551327

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Memorial Hospital District

  dba Syracuse Area Health

  • Critical Access Hospital
  • Syracuse, NE
  • NPI 1013925924
  Medicare reassignment NPD
• Community Memorial Hospital District

  dba SAH Professional Services

  • Family Medicine Physician
  • Syracuse, NE
  • NPI 1336155134
  Medicare reassignment NPD
• Community Memorial Hospital District

  • Family Medicine Physician
  • Hickman, NE
  • NPI 1134097900
  NPD
• Community Memorial Hospital District

  dba Sagewell

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1023823150
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Memorial Hospital District

  dba Syracuse Area Health

  • Critical Access Hospital
  • Syracuse, NE
  • NPI 1013925924
  Care Compare affiliation
• Tabitha, Inc.

  dba Tabitha Home Health Care

  • Home Health Agency
  • Lincoln, NE
  • NPI 1720163298
  Care Compare affiliation
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Care of Southeast Nebraska

  • Home Health Agency
  • Auburn, NE
  • NPI 1437132123
  Care Compare affiliation
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Syracuse

  • Skilled Nursing Facility
  • Syracuse, NE
  • NPI 1902888415

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1013321892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 HEALTHCARE DR",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684467880",
            "telephone_number": "402-269-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 HEALTHCARE DR",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684467880",
            "telephone_number": "402-269-7644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6102 Skillman St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752317811",
            "country_code": "US",
            "telephone_number": "469-998-6281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Gray Falls Dr # 100H",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770776674",
            "country_code": "US",
            "telephone_number": "713-936-4103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "632 Broadway Ph",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122614",
            "country_code": "US",
            "telephone_number": "800-731-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIN",
        "first_name": "RANDY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020028406",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-1916",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U6846",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "73427-21",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "2378",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS20534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bain0744@syracuseareahealth.cernerdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Message",
            "affiliationName": "Community Memorial Hospital District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2731 Healthcare Dr",
            "city": "Syracuse",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684467880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Schuylar Dean Argo
• Kerstin C Beach, MD
• Lacee Mae Boyer-Sears
• Chelsey Lynn Burr, LIMHP, LPC
• Ashleigh Callahan
• City of Syracuse (Syracuse Rescue Service, Inc)

• Family Medicine Physician in Syracuse, NE
• Providers in Syracuse, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.