Active NPI
Randall Lane Heller III, M.D.
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2017008012
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Missouri, Columbia School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Mercy Hospital Washington
- Mercy Hospital South
- Mercy Hospital Jefferson
- Phelps County Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.77 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036144873 | IL | MD | Diagnostic Radiology Physician |
| 2017008012 | MO | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Radiology Management Solutions LLC | Diagnostic Radiology | Current | Accepting new patients |
| West County Radiological Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Vanderbilt University Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Memphis Physicians Radiological Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Savannah Chatham Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Missouri Delta Medical Center | Current | 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.
-
- Internal Medicine Physician
- Sikeston, MO
- NPI 1508967860
-
- Diagnostic Radiology Physician
- Rolla, MO
- NPI 1689091076
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1477500585
-
- Diagnostic Radiology Physician
- Memphis, TN
- NPI 1134231574
MO
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
Diagnostic Radiology, MO
-
- Community/Retail Pharmacy
- Malden, MO
- NPI 1578371621
-
- General Acute Care Hospital
- Sikeston, MO
- NPI 1831269539
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.