Randolph Richard Whitely, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-25153 Issued in KS

Practice address

1005 N B St
Herington, KS 67449-1600

Phone

(785) 258-2100

Fax

(785) 258-2104

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Randolph Norman Whitely Former name

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

Family PracticeAlso: Emergency Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Merit-based Incentive Payment System (MIPS)

Final score

84.77 of 100Reported as group

Quality

77.19

Promoting interoperability

99

Improvement activities

40

Cost

72.88

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: randolph.whitely@hca3.eclinicaldirectplus.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.

• Hospital District No 1 Marion Co

  • Critical Access Hospital
  • Marion, KS
  • NPI 1144355793

  KS

  Medicare reassignment NPD
• Wesley Physicians Medical Specialties LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1699069732

  KS

  Medicare reassignment NPD
• Hospital District No 1 Marion Co

  • Rural Health Clinic/Center
  • Marion, KS
  • NPI 1265617526
  NPD
• Hospital District No 1 Marion Co

  • Durable Medical Equipment & Medical Supplies
  • Marion, KS
  • NPI 1427266014
  NPD
• Central Kansas Medical Center

  • Family Medicine Physician
  • Great Bend, KS
  • NPI 1467402040

  Family Medicine

  NPD (past)
• Emergency Services of Kansas, PA

  • Internal Medicine Physician
  • Newton, KS
  • NPI 1104864503

  Family Medicine

  NPD (past)
• Kansas Physicians Group, LLC

  • Surgery Physician
  • Wichita, KS
  • NPI 1831415421
  NPD (past)
• Mercy Kansas Communities Inc

  • Emergency Care Clinic/Center
  • Independence, KS
  • NPI 1417064957
  NPD (past)
• Mid Kansas Family Practice PA

  • Family Medicine Physician
  • Hesston, KS
  • NPI 1851328058

  Family Medicine

  NPD (past)
• Preferred Medical Associates

  • Family Medicine Physician
  • Hillsboro, KS
  • NPI 1457381170

  Family Medicine

  NPD (past)
• Wesley Medical Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  NPD (past)
• Wichita Medical Associates, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Wichita, KS
  • NPI 1396796991
  NPD (past)

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

• Wesley Medical Center LLC

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1659324200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N B ST",
            "city": "HERINGTON",
            "state": "KS",
            "postal_code": "674491600",
            "telephone_number": "785-258-2100",
            "fax_number": "785-258-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N B ST",
            "city": "HERINGTON",
            "state": "KS",
            "postal_code": "674491600",
            "telephone_number": "785-258-2100",
            "fax_number": "785-258-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELY",
        "first_name": "RANDOLPH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-25153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100166280K",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDOLPH",
            "last_name": "WHITELY",
            "middle_name": "NORMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adrian D Strange, PTA
• Rari Nicole Thomas
• Richard Uhlig, D.O.
• Usd 487 Herington
• Tina Van Meter, LCPC
• Chelsea Suzanne Wildman, APRN

• All providers in Herington, KS
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.