Jerome R Randall, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016-005113 Issued in IL

Practice address

231 Main St
Park Forest, IL 60466-2097

Phone

(708) 748-3338

Fax

(708) 748-4332

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, WI, VI3 enrollments

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 3

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: professionalfootandankle.jeromerandall@160993.advancedmd-direct.com

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.

• Professional Foot & Ankle LLC

  • Podiatrist
  • Park Forest, IL
  • NPI 1467606152
  Medicare reassignment NPD Authorized official
• Urban Foot Care Center PC

  • Foot & Ankle Surgery Podiatrist
  • Christiansted, VI
  • NPI 1457611170
  Medicare reassignment NPD
• Midwest Foot & Ankle Specialists

  • Podiatrist
  • Milwaukee, WI
  • NPI 1619374584
  NPD (past) Authorized official
• Midwest Foot & Ankle Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Milwaukee, WI
  • NPI 1730586561
  NPD (past) Authorized official
• Yasmin B. Khan, MD PA

  • Obstetrics & Gynecology Physician
  • Richardson, TX
  • NPI 1760777890
  NPD
• Dr. Mary White PC

  • Podiatrist
  • Rockford, IL
  • NPI 1174724520
  NPD (past)
• Foot and Ankle Inc

  • Primary Podiatric Medicine Podiatrist
  • Homer Glen, IL
  • NPI 1679760821
  NPD (past)
• Lashawn D Freeman DPM SC

  • Podiatrist
  • Chicago, IL
  • NPI 1972692135
  NPD (past)
• Medical and Foot Care Group

  • Foot & Ankle Surgery Podiatrist
  • Palos HTS, IL
  • NPI 1114106457
  NPD (past)
• Diabetic Institute

  • Internal Medicine Physician
  • Christiansted, VI
  • NPI 1669328084
  NPD (past)
• Lashawn D Freeman, DPM SC

  • Foot & Ankle Surgery Podiatrist
  • Griffith, IN
  • NPI 1700139243
  NPD (past)
• Podiatry LTD

  • Foot Surgery Podiatrist
  • Portsmouth, VA
  • NPI 1972600104
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1376689257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAIN ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662097",
            "telephone_number": "708-748-3338",
            "fax_number": "708-748-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAIN ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662097",
            "telephone_number": "708-748-3338",
            "fax_number": "708-748-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "JEROME",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-005113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005113",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baelee K Phillips
• Pream Homecare Solutions
• Professional Foot & Ankle LLC
• Ramin Ghazizadeh LLC (Ramin Ghazizadeh DPM)
• Ramin Ghazizadeh LLC (Park Forest Podiatry)
• Shawnice Randle
• Reliable Health Care Services L.L.C.
• Resilient Home Care Services, LLC
• Michelle Riggins, FNP
• River Oaks and Park Forest Opco LLC (Green Oaks Supportive Living of Park Forest)

• Podiatrist in Park Forest, IL
• Providers in Park Forest, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; 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.