Individual provider Active NPI

Randall Roe, MD

  • Emergency Medicine Physician
  • Salina, KS
National Provider Identifier
1811639099
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
04-51409 Issued in KS
Practice address
400 S Santa Fe Ave
Salina, KS 67401-4144
Phone
(785) 452-7163
Fax
(785) 452-6873
NPI assigned
Apr 8, 2022
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 04-51409 KS Primary

Addresses

Primary practice location

400 S Santa Fe Ave
Salina, KS 67401-4144

Mailing address

400 S Santa Fe Ave
Salina, KS 67401-4144
Phone (785) 452-7163

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250825001403 KS Practitioner - Emergency Medicine 9830573708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 S Santa Fe Ave
Salina, KS 67401-4144

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsborg Community Hospital Association CurrentSince Jul 16, 2025 Accepting new patients
Salina Regional Health Center Inc CurrentSince Jul 16, 2025 Accepting new patients
Lindsborg Community Rural Health Clinic Inc Current Accepting new patients
Salina Regional Health Center, Inc. Emergency Medicine CurrentSince Jul 16, 2025 Accepting new patients
Salina Regional Health Center, Inc Current Accepting new patients
Lindsborg Community Hospital Association CurrentSince Jul 16, 2025 Accepting new patients

Locations

605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3308

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1811639099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-7163",
            "fax_number": "785-452-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-7163",
            "fax_number": "785-452-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "RANDALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-51409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.