Rachelle Randall, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901400467 Issued in MI

Practice address

1107 Stone St Ste 3
Port Huron, MI 48060-3569

Phone

(810) 204-4494

Fax

(810) 479-9640

NPI assigned

Jun 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031

Merit-based Incentive Payment System (MIPS)

Final score

90.82 of 100Reported as apm

Quality

81.65

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/505041/r4
• Direct secure messaging: rachellerandall@jerryortho.directglo.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.

• Foot & Ankle Institute of Sports Medicine, LLC

  • Foot & Ankle Surgery Podiatrist
  • Port Huron, MI
  • NPI 1336835875

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Jerry Orthopaedic Institute, PLLC

  • Orthopaedic Surgery Physician
  • Port Huron, MI
  • NPI 1184175812

  Multi-Specialty

  Medicare reassignment NPD
• Mendelson Orthopedics PC

  dba mendelson kornblum orthopedic and spine surgeons

  • Orthopaedic Surgery Physician
  • Sterling Heights, MI
  • NPI 1720395205

  Multi-Specialty

  Medicare reassignment NPD
• Mendelson Orthopedics PC

  dba Mendelson Schoenherr

  • Interventional Pain Medicine Physician
  • Warren, MI
  • NPI 1700239415

  Multi-Specialty

  NPD
• Mendelson Orthopedics PC

  • Orthopaedic Surgery Physician
  • Livonia, MI
  • NPI 1720153463

  Multi-Specialty

  NPD

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

• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  Care Compare affiliation

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1558855155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 STONE ST STE 3",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603569",
            "telephone_number": "810-204-4494",
            "fax_number": "810-479-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 STONE ST STE 3",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603569",
            "telephone_number": "810-204-4494",
            "fax_number": "810-479-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "RACHELLE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901400467",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jeffery Rambo
• Jillian Ramsey
• Randa Jundi-Samman DMD & Alister M Mackenzie DDS PC (Huron Dental)
• Stacey Randall-Weir
• Chantelle Elizabaeth Randall, DDS
• Adam M Randazzo, PA-C
• Jeffrey Michael Randolph, PT
• Nichole Ransberger, LPN
• Pamela Lynn Ranshaw
• Belinda D Raymo, REGISTERED NURSE

• Foot & Ankle Surgery Podiatrist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.