Individual provider Active NPI

Randy S. Large, DO

  • Anesthesiology Physician
  • Belton, MO
National Provider Identifier
1538149778
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2010000744 Issued in MO
Practice address
17065 S Outer Rd
Belton, MO 64012-2165
Phone
(816) 348-1200
Fax
(913) 428-2951
NPI assigned
Jan 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2010000744 MO Primary
Anesthesiology Physician 207L00000X 3086 AZ
Anesthesiology Physician 207L00000X DR-34380 CO

Addresses

Primary practice location

17065 S Outer Rd
Belton, MO 64012-2165

Mailing address

8717 W 110TH St Ste 600
Overland Park, KS 66210-2126
Phone (913) 428-2900

Other practice location 1

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-3649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100819000622 MO Practitioner - Anesthesiology 7214969138 Reassigns benefits to 1 organization
I20150115002306 FL Practitioner - Anesthesiology 7214969138 Reassigns benefits to 2 organizations
I20220923001460 KS Practitioner - Anesthesiology 7214969138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Kansas City PAGroup PAC ID 1951206168, 214 clinicians

Practice addresses (Care Compare)

10730 Nall Ave
100 South Kansas City Surgicenter
Overland Park, KS 66211-1242
Phone (913) 901-9000

17065 S 71 Hwy
Belton Regional Medical Center
Belton, MO 64012-2165
Phone (816) 348-1200

Hospital & facility affiliations

  • Belton Regional Medical Center Hospital, Belton, MO, CCN 260214
  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR-34380COMDAnesthesiology Physician
3086AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams Anesthetist Services LLC Anesthesiology CurrentSince Jan 2, 2018 Accepting new patients
Anesthesia Associates of Kansas City PA Anesthesiology CurrentSince Jul 28, 2022 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Sep 15, 2017 Accepting new patients
Casa Grande Community Hospital Anesthesiology Past Accepting new patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients
Regional Care Physicians Grooup Anesthesiology Past Accepting new patients
Midwest Heart & Vascular Specialists, LLC PastSince Jul 28, 2022 Accepting new patients
Sheridan Healthcare of Colorado PC Anesthesiology Past Accepting new patients

Locations

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

3801 E Highway 98
Port St Joe, FL 32456
Phone (850) 229-5600

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

6601 Rockhill Rd
Kansas City, MO 64131
Phone (816) 276-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1538149778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST STE 600",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102126",
            "telephone_number": "913-428-2900",
            "fax_number": "913-428-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17065 S OUTER RD",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "816-348-1200",
            "fax_number": "913-428-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-3649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARGE",
        "first_name": "RANDY",
        "middle_name": "S.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2010000744",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "3086",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR-34380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

Verify at the official NPI Registry.