Active NPI
Henry B Randall, M.D.
- Transplant Surgery Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- 2010016523
- Practice address
- 4320 Wornall Rd
Suite 240
Kansas City, MO 64111-5941 - Phone
- (816) 932-7900
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 2010016523 | MO | Primary |
Addresses
Primary practice location
4320 Wornall Rd
Suite 240
Kansas City, MO 64111-5941
Mailing address
PO Box 504407
Saint Louis, MO 63150-4407
Phone (816) 932-7940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801817226 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Wayne State University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
1225 S Grand Blvd
Saint Louis, MO 63104-1016
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010016523 | MO | MD | Transplant Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| SLH Physicians LLC | Current | Accepting new patients | |
| Saint Lukes Physician Group II LLC | Transplant Surgery | Past | Accepting new patients |
| University Surgical Associates, PSC | Past | Accepting new patients | |
| Transplant Associates of Baylor Health Care System, PA | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| SSM Medical Group Inc. | Past | Accepting new patients | |
| Healthtexas Provider Network-Transplant Services LLP | Transplant Surgery | Past | Accepting new patients |
Locations
1225 S Grand Blvd
#2
Saint Louis, MO 63104
Phone (314) 977-4700
1225 S Grand Blvd
#3L
Saint Louis, MO 63104
Phone (314) 257-3760
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1540 E Evergreen St
Springfield, MO 65803
Phone (417) 823-2900
Interoperability endpoints
- hrandall138786@direct-ehr-ssmhc.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1881668051
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Surgery Physician
- Kansas City, MO
- NPI 1750335337
Transplant Surgery
-
- Durable Medical Equipment & Medical Supplies
- Fenton, MO
- NPI 1124579966
-
- Transplant Surgery Physician
- Dallas, TX
- NPI 1881699460
-
- Specialist
- Dallas, TX
- NPI 1700033016
-
- Surgery Physician
- Louisville, KY
- NPI 1609847367
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1609840552
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327708800000",
"number": "1801817226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 504407",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631504407",
"telephone_number": "816-932-7940",
"fax_number": "816-932-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 WORNALL RD",
"address_2": "SUITE 240",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115941",
"telephone_number": "816-932-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "HENRY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2012-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "MO",
"license": "2010016523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801817226",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; 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.