Randall Renee Beech, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19302 Issued in KS

Practice address

750 Ave D West
Kingman, KS 67068-1268

Phone

(620) 532-3147

Fax

(620) 532-5221

NPI assigned

Jul 21, 2005

Last updated

Nov 30, 2010By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

General Surgery

Education

University of Kansas School of Med (KC/Wich/Sal), 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Home Health & Hospice LLC Hospice, Wichita, KS, CCN 171600
• Hospital District #1 of Rice County Hospital, Lyons, KS, CCN 171330

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cancer Center of Kansas, P.a.

  • Radiology Clinic/Center
  • Wichita, KS
  • NPI 1215703426
  NPD (past)
• Line Medical Inc

  • Diagnostic Radiology Physician
  • Kingman, KS
  • NPI 1124083308
  NPD (past)
• Ninnescah Valley Health Systems, Inc.

  dba Kingman Healthcare Center

  • Critical Access Hospital
  • Kingman, KS
  • NPI 1508969965
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital District No 1 of Rice Co

  • Critical Access Hospital
  • Lyons, KS
  • NPI 1710962014
  Care Compare affiliation
• Providence Home Health & Hospice LLC.

  • Community Based Hospice Care Agency
  • Wichita, KS
  • NPI 1467877571
  Care Compare affiliation

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1396744223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780515",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672780515",
            "telephone_number": "316-636-1129",
            "fax_number": "316-218-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 AVE D WEST",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681268",
            "telephone_number": "620-532-3147",
            "fax_number": "620-532-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEECH",
        "first_name": "RANDALL",
        "middle_name": "RENEE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "19302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004070428",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020007135",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100154100B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Mobile Healthcare and Community Clinic
• Alliance Imaging Inc
• Tyler J Antenen, P.A.-C
• Aspire Physical Therapy Inc
• Erin M Baxa, MD
• Laura C Bevis, ARNP
• Jessica Blackwill, APRN
• Lisa Boyle, PTA
• Cancer Center of Kansas, P.a.
• Christopher H Surtman DPM LLC

• Surgery Physician in Kingman, KS
• Providers in Kingman, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.