Individual provider Active NPI

Randall Wayne Messerly, D.O.

  • Surgery Physician
  • Manchester, IA
National Provider Identifier
1598717787
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2484 Issued in IA
Practice address
709 W Main St
Manchester, IA 52057-1526
Phone
(563) 927-7401
Fax
(563) 927-7327
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2484 IA Primary
Surgery Physician 208600000X 36300 MO

Addresses

Primary practice location

709 W Main St
Manchester, IA 52057-1526

Mailing address

709 W Main St
P.O. Box 359
Manchester, IA 52057-1526
Phone (563) 927-7401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20040401001091 IA Practitioner - General Surgery 3870585565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware County Memorial HospitalGroup PAC ID 2062316375, shared by 11 NPIs, 80 clinicians

Practice addresses (Care Compare)

709 W Main St
Regional Medical Center
Manchester, IA 52057-1526
Phone (563) 927-3232

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2484IAMDSurgery Physician
36300MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
Delaware County Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Delaware County Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients

Locations

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

709 W Main St
#359
Manchester, IA 52057
Phone (563) 927-7457

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8fdd186f-a014-47f3-8c9e-d61f95a9a6ea/

Organizations & group practices 5

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 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1598717787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "address_2": "P.O. BOX 359",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571526",
            "telephone_number": "563-927-7401",
            "fax_number": "563-927-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571526",
            "telephone_number": "563-927-7401",
            "fax_number": "563-927-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSERLY",
        "first_name": "RANDALL",
        "middle_name": "WAYNE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "2484",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "36300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, IA

Sources for this page

Verify at the official NPI Registry.