Individual provider Active NPI

Kathryn Kimberly Randall, MD

  • Obstetrics & Gynecology Physician
  • Madison, WI
National Provider Identifier
1184636672
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2633-320 Issued in WI
Practice address
2402 Winnebago St
Madison, WI 53704-5341
Phone
(608) 828-7603
NPI assigned
Aug 12, 2006
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD2013-0007 NM
Obstetrics & Gynecology Physician 207V00000X 7343A WY
Obstetrics & Gynecology Physician 207V00000X 2633-320 WI Primary

Addresses

Primary practice location

2402 Winnebago St
Madison, WI 53704-5341

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

905 S. 8th St.
Deming, NM 88030
Phone (575) 543-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krandall8436709@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130606000327 NM Practitioner - Obstetrics/Gynecology 3577563725 Reassigns benefits to 1 organization
I20181018000707 TX Practitioner - Obstetrics/Gynecology 3577563725 Reassigns benefits to 4 organizations
I20230302001395 WI Practitioner - Obstetrics/Gynecology 3577563725 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2013-0007NMMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Hollingsworth DO PA Obstetrics & Gynecology CurrentSince Apr 18, 2022 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Apr 22, 2024 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Aug 15, 2018 Accepting new patients
Deming Hospital Corporation Current Accepting new patients
Invogue Total Womens Healthcare PLLC Obstetrics & Gynecology CurrentSince Nov 16, 2018 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Apr 22, 2024 Accepting new patients
Deming Hospital Corporation CurrentSince Dec 30, 2018 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince May 5, 2025 Accepting new patients
Madison Medical Affiliates, Inc. CurrentSince Nov 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince May 5, 2025 Accepting new patients
Femi David Iwaloye, MD, PA Obstetrics & Gynecology CurrentSince Dec 24, 2019 Accepting new patients
Obhg Wisconsin, S.C. Obstetrics & Gynecology CurrentSince Feb 1, 2023 Accepting new patients
Deming Hospital Corporation CurrentSince Dec 30, 2018 Accepting new patients
Deming Hospital Corporation Past Accepting new patients

Locations

7423 Solutions Ctr
Chicago, IL 60677

905 S 8th St
Deming, NM 88030
Phone (575) 543-7200

905 S 8th St
Ste B
Deming, NM 88030
Phone (575) 543-7200

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

11167 La Quinta Pl
El Paso, TX 79936
Phone (915) 591-4453

1671 N Zaragoza Rd
Ste A
El Paso, TX 79936
Phone (915) 595-5439

1700 N Oregon St
Ste 530
El Paso, TX 79902
Phone (915) 544-2000

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

2402 Winnebago St
Madison, WI 53704
Phone (608) 242-6840

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

788 N Jefferson St
Ste 401
Milwaukee, WI 53202
Phone (414) 226-4020

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8862/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1184636672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 WINNEBAGO ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045341",
            "telephone_number": "608-828-7603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 S. 8th St.",
            "address_purpose": "LOCATION",
            "city": "Deming",
            "state": "NM",
            "postal_code": "88030",
            "country_code": "US",
            "telephone_number": "575-543-7200",
            "fax_number": "575-543-7253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "KATHRYN",
        "middle_name": "KIMBERLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2013-0007",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "7343A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "2633-320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krandall8436709@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "2402 Winnebago St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537045341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.