Active NPI
Randy C. Asman, M.D.
- Family Medicine Physician
- Side Lake, MN
National Provider Identifier
1386694412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29128
- Practice address
- 12994 Boldt Road
Side Lake, MN 55781 - Phone
- (712) 209-0355
- NPI assigned
- May 11, 2006
- Last updated
- Jun 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29128 | MN | Primary |
Addresses
Primary practice location
12994 Boldt Road
Side Lake, MN 55781
Mailing address
PO Box 309
Side Lake, MN 55781-0309
Phone (712) 209-0355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210209002876 | MN | Order and Referring Only - Family Practice | 5395810097 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24235 | IA | MD | Pharmacist |
| 29128 | MN | MD | Plastic Surgery Physician |
Interoperability endpoints
- randy.asman@avera.sdhealthlink.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1386694412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "SIDE LAKE",
"state": "MN",
"postal_code": "557810309",
"telephone_number": "712-209-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12994 BOLDT ROAD",
"city": "SIDE LAKE",
"state": "MN",
"postal_code": "55781",
"telephone_number": "712-209-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASMAN",
"first_name": "RANDY",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "29128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Side Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.