Individual provider Active NPI

Randall Lane Heller III, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1326337932
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2017008012 Issued in MO
Practice address
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone
(314) 251-6031
NPI assigned
Apr 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036144873 IL
Vascular & Interventional Radiology Physician 2085R0204X 2017008012 MO
Diagnostic Radiology Physician 2085R0202X 2017008012 MO Primary

Addresses

Primary practice location

615 S New Ballas Rd
Saint Louis, MO 63141-8221

Mailing address

11475 Olde Cabin Rd Ste 200
Saint Louis, MO 63141-7129
Phone (314) 991-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170530000595 MO Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1456628270 Reassigns benefits to 8 organizations
I20241231000239 TN Practitioner - Diagnostic Radiology 1456628270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Missouri, Columbia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Radiology Management Solutions LLCGroup PAC ID 3577780337, 26 clinicians
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians
Savannah Chatham Imaging LLCGroup PAC ID 6800890245, 32 clinicians
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians
West County Radiological Group IncGroup PAC ID 8527966944, 105 clinicians
USA Radiology of Pennsylvania LLCGroup PAC ID 0345594388, 22 clinicians

Practice addresses (Care Compare)

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000

43 Chesterfield Lakes Rd
Chesterfield, MO 63005-4506
Phone (636) 728-2221

43 Chesterfield Mall
Chesterfield, MO 63017-4807
Phone (615) 322-5000

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-2191

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6031

901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8250

946 E Reed
Hayti, MO 63851
Phone (314) 821-8055

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023
  • Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017

Merit-based Incentive Payment System (MIPS)

Final score
84.77 of 100Reported as group
Quality
86.95
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036144873ILMDDiagnostic Radiology Physician
2017008012MOMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Radiology Management Solutions LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
West County Radiological Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Vanderbilt University Medical Center Diagnostic Radiology CurrentSince Nov 18, 2024 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Missouri Delta Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Missouri Delta Medical Center Current Accepting new patients
Savannah Chatham Imaging LLC Diagnostic Radiology CurrentSince Oct 14, 2024 Accepting new patients
Missouri Delta Medical Center CurrentSince Mar 1, 2025 Accepting new patients

Locations

Dept AT 40379
Atlanta, GA 31192

Dept A T 40379
Atlanta, GA 31192

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

10 Little Brook Rd
West Wareham, MA 02576

43 Chesterfield Mall
Chesterfield, MO 63017

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408

630 NW Englewood Rd
Kansas City, MO 64118
Phone (816) 453-2700

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

10050 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1688

11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200

35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

Organizations & group practices 9

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.

Hospital & facility affiliations 8

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1326337932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11475 OLDE CABIN RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417129",
            "telephone_number": "314-991-8200",
            "fax_number": "314-991-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "RANDALL",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036144873",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2017008012",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2017008012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.