Individual provider Active NPI

Randy S Rich, MD

  • Hematology & Oncology Physician
  • Arlington Heights, IL
National Provider Identifier
1609863281
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036091959 Issued in IL
Practice address
880 W Central Rd
Suite 8200
Arlington Heights, IL 60005-2355
Phone
(847) 259-4482
Fax
(847) 259-6406
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036091959 IL Primary

Addresses

Primary practice location

880 W Central Rd
Suite 8200
Arlington Heights, IL 60005-2355

Mailing address

25070 Network PL
Chicago, IL 60673-1250
Phone (847) 585-7000

Other identifiers 1

IdentifierTypeStateIssuer
036091959MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040113000273 IL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3173423365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
New York Medical College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Cancer SpecialistsGroup PAC ID 5597665752, 26 clinicians

Practice addresses (Care Compare)

880 W Central Rd
Suite 8200
Arlington Heights, IL 60005-2380
Phone (847) 259-4482

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Cancer Specialists Hematology & Oncology CurrentSince Jul 1, 2001 Accepting new patients
Illinois Cancer Specialists Hematology & Oncology CurrentSince Jul 1, 2001 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

880 W Central Rd
Ste 8200
Arlington Heights, IL 60005
Phone (847) 259-4482

25070 Network Pl
Chicago, IL 60673
Phone (847) 585-7000

8915 W Golf Rd
Niles, IL 60714
Phone (847) 692-9255

8915 W Golf Rd
Fl 1
Niles, IL 60714
Phone (847) 692-9255

Interoperability endpoints

  • Direct secure messaging: randy.rich@ics.ikm.direct-ci.com

Organizations & group practices 3

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 3

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1609863281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25070 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731250",
            "telephone_number": "847-585-7000",
            "fax_number": "847-240-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD",
            "address_2": "SUITE 8200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052355",
            "telephone_number": "847-259-4482",
            "fax_number": "847-259-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "RANDY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036091959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091959",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.