Randall Wayne Hall, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

244161 Issued in KY

Practice address

326 Highland Park Dr
Richmond, KY 40475-3487

Phone

(859) 623-3550

Fax

(859) 623-3393

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marcum and Wallace Memorial Hospital Hospital, Irvine, KY, CCN 181301

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bluegrass Foot and Ankle Care, PLLC

  • Podiatrist
  • Richmond, KY
  • NPI 1598896334

  KY, Podiatrist

  Medicare reassignment NPD Authorized official
• Bluegrass Foot and Ankle Care PLLC

  • Durable Medical Equipment & Medical Supplies
  • Richmond, KY
  • NPI 1720364268
  NPD Authorized official
• Bluegrass Foot and Ankle Care

  • Customized Equipment (DME)
  • Richmond, KY
  • NPI 1972783157
  NPD (past) Authorized official
• Daniel E Whitney DPM PSC

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
  • NPI 1093876021
  NPD (past)

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

• Mercy Health-Marcum & Wallace Hospital LLC

  • Critical Access Hospital
  • Irvine, KY
  • NPI 1487643821

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1215935671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753487",
            "telephone_number": "859-623-3550",
            "fax_number": "859-623-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753487",
            "telephone_number": "859-623-3550",
            "fax_number": "859-623-3393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 Highland Park Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404753487",
            "country_code": "US",
            "telephone_number": "859-623-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "RANDALL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "274",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "244161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000185",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000330836",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Kay Hainey, PTA
• Brianna Hairston
• Gabrielle Hale
• Carlie Dawn Hall, LPCC
• Kimberly Rene Hall
• Sheila Kirstan Hall, PT
• Whitney Rae Hall
• Amanda Hamilton, ARNP
• Emily Hamilton
• Michael Hamilton, PA-C

• All providers in Richmond, KY
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.