Individual provider Active NPI

Randy McCool, M.D.

  • Obstetrics & Gynecology Physician
  • Arlington Heights, IL
National Provider Identifier
1093711517
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
31900 Issued in KY
Practice address
1630 W Central Rd
Arlington Heights, IL 60005-2407
Phone
(847) 394-3553
Fax
(847) 394-3574
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 31900 KY Primary

Addresses

Primary practice location

1630 W Central Rd
Arlington Heights, IL 60005-2407

Mailing address

1630 W Central Rd
Arlington Heights, IL 60005-2407
Phone (847) 394-3553

Other identifiers 3

IdentifierTypeStateIssuer
1088086OtherKYPASSPORT
160034075OtherKYRAILROAD MEDICARE
64319007MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20080906000110 IL Practitioner - Obstetrics/Gynecology 6204902760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31900KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Women'S Consultants, S.C. Obstetrics & Gynecology CurrentSince Aug 1, 2008 Accepting new patients

Locations

1630 W Central Rd
Arlington Hts, IL 60005
Phone (847) 394-3553

1614 W Central Rd
Ste 211
Arlington Hts, IL 60005
Phone (847) 255-9606

Interoperability endpoints

  • Direct secure messaging: rmccool@nwwc.gwaydirect.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1093711517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "847-394-3553",
            "fax_number": "847-394-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "847-394-3553",
            "fax_number": "847-394-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOOL",
        "first_name": "RANDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "31900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1088086",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160034075",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64319007",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.