Individual provider Active NPI

Randy A. Engelman, DO

  • Emergency Medicine Physician
  • Joplin, MO
National Provider Identifier
1285841940
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2018006182 Issued in MO
Practice address
100 Mercy Way
Joplin, MO 64804-4524
Phone
(417) 556-2727
NPI assigned
May 16, 2007
Last updated
Feb 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2018006182 MO Primary

Addresses

Primary practice location

100 Mercy Way
Joplin, MO 64804-4524

Mailing address

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, MD3 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
I20110103000799 OK Practitioner - Emergency MedicinePractitioner - Internal Medicine 7012015514 Reassigns benefits to 4 organizations
I20220816002190 TX Practitioner - Emergency Medicine 7012015514 Reassigns benefits to 2 organizations
I20230501001512 MD Practitioner - Emergency Medicine 7012015514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Emergency Physician Services, LLCGroup PAC ID 5395728687, 10 clinicians

Practice addresses (Care Compare)

251 N 4TH St
Oakland, MD 21550-1375
Phone (301) 533-4190

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2018006182MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jul 11, 2021 Accepting new patients
Fisher County Hospital District Current Accepting new patients
Professional Emergency Physician Services, LLC Emergency Medicine CurrentSince Apr 9, 2023 Accepting new patients
Choctaw County City of Hugo Hospital Authority CurrentSince Dec 30, 2021 Accepting new patients
Fisher County Hospital District CurrentSince May 1, 2022 Accepting new patients
Hospital Care Consultants, Inc Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Fisher County Hospital District Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jul 11, 2021 Accepting new patients
Emergency Medicine Physicians of Belmont County LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Brooke County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Guernsey County, LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Ohio County, PLLC Emergency Medicine Past Accepting new patients

Locations

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

1405 E Kirk St
Hugo, OK 74743
Phone (580) 317-9500

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256

802 N Minter Ave
Throckmorton, TX 76483
Phone (940) 849-2141

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1285841940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-556-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-556-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELMAN",
        "first_name": "RANDY",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2018006182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.