Individual provider Active NPI

Randolph S Martin, MD

  • Cardiovascular Disease Physician
  • Poughkeepsie, NY
National Provider Identifier
1366436818
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036079474 Issued in IL
Practice address
1 Webster Ave Ste 202
Poughkeepsie, NY 12601-1362
Phone
(845) 483-5934
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 155943 NY
Cardiovascular Disease Physician 207RC0000X 036079474 IL Primary

Addresses

Primary practice location

1 Webster Ave Ste 202
Poughkeepsie, NY 12601-1362

Mailing address

1 Webster Ave Ste 202
Poughkeepsie, NY 12601-1362
Phone (845) 483-5934

Other practice location 1

319 E Madison St Ste 2D
Springfield, IL 62701-3120
Phone (217) 546-0750

Other identifiers 1

IdentifierTypeStateIssuer
036079474MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Randolph.Martin@wmchealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001325 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082694484 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Albany Medical College of Union University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

1001 Heather Dr
Mahomet, IL 61853-2754
Phone (217) 586-8444

1540 E Grove Ave
Rantoul, IL 61866-2736
Phone (217) 893-7700

1701 W Curtis Rd
Champaign, IL 61822-9678
Phone (217) 365-6200

1818 E Windsor Rd
Urbana, IL 61802-9566
Phone (217) 255-9500

200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900

516 W Madison St
Danville, IL 61832-5657

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036079474ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kirby Medical Center CurrentSince Aug 1, 2020 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Feb 18, 2019 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Apr 12, 2022 Accepting new patients
Kirby Medical Center CurrentSince Aug 1, 2020 Accepting new patients
Hoopeston Community Memorial Hospital Cardiovascular Disease Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jun 3, 2019 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Apr 12, 2022 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jun 3, 2019 Accepting new patients
Carle Health Care Incorporated Cardiovascular Disease CurrentSince Feb 18, 2019 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Springfield Clinic, LLP Past Accepting new patients

Locations

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

319 E Madison St
Ste 2D
Springfield, IL 62701
Phone (217) 508-5859

2901 Old Jacksonville Rd
Springfield, IL 62704
Phone (217) 698-9722

2901 Old Jacksonville Rd
Ste D
Springfield, IL 62704
Phone (217) 544-9252

747 N Rutledge St
Springfield, IL 62702
Phone (217) 545-6112

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: rmartinmd270264@carlehiedirect.net

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 and National Provider Directory roles.

View all 14

Hospital & facility affiliations 5

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1366436818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEBSTER AVE STE 202",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011362",
            "telephone_number": "845-483-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEBSTER AVE STE 202",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011362",
            "telephone_number": "845-483-5934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 E Madison St Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627013120",
            "country_code": "US",
            "telephone_number": "217-546-0750",
            "fax_number": "217-546-0894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RANDOLPH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "155943",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036079474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079474",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Randolph.Martin@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "APS Cardiology",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1 Webster Ave Ste 202",
            "city": "Poughkeepsie",
            "state": "NY",
            "country_code": "US",
            "postal_code": "126011362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.