Active NPI
Randall C Edgell, MD
- Neurology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036145444
- Practice address
- 1225 S Grand Blvd
Saint Louis, MO 63104-1016 - Phone
- (314) 977-4864
- Fax
- (314) 977-4878
- NPI assigned
- Oct 13, 2006
- Last updated
- Jun 29, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036145444 | IL | Primary |
| Vascular Neurology Physician | 2084V0102X | 2007015340 | MO | |
| Vascular Neurology Physician | 2084V0102X | 036145444 | IL |
Addresses
Primary practice location
1225 S Grand Blvd
Saint Louis, MO 63104-1016
Mailing address
1008 S Spring Ave
Saint Louis, MO 63110-2520
Phone (314) 977-4864
Other practice location 1
301 N 8th St
Springfield, IL 62701-1041
Phone (217) 528-7541
Other practice location 2
3801 S National Ave
Springfield, MO 65807-5210
Phone (000) 000-0000
Other practice location 3
421 N 9th St
Springfield, IL 62702-5317
Phone (217) 757-6867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205461205 | Medicaid | MO |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | redgell22320@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | redgell182800@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Baylor College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- 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
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464
Hospital & facility affiliations
- SSM Health Saint Louis University Hospital
- St Johns Hospital
- HSHS St Elizabeth's Hospital
- Saint Francis Medical Center
- Anderson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.25 of 100
- Quality
- 64.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036145444 | IL | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Neurology | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| SSM-Sluh Inc | Past | Accepting new patients |
Locations
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1225 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-3390
1438 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 977-4828
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
8820 Manchester Rd
Saint Louis, MO 63144
Phone (314) 963-8100
1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
Interoperability endpoints
- redgell182800@ewd.direct.hshs.org
- redgell22320@direct-ehr-ssmhc.com
Organizations & group practices 7
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.
-
dba SLUCare Physician Group
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Neurology
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
dba Ferrell-Duncan Clinic
- General Practice Physician
- Springfield, MO
- NPI 1760405864
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
dba SSM Health Saint Louis University Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
-
dba SSM Health Saint Louis University Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1912097817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 S SPRING AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102520",
"telephone_number": "314-977-4864",
"fax_number": "314-977-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041016",
"telephone_number": "314-977-4864",
"fax_number": "314-977-4878"
}
],
"practiceLocations": [
{
"address_1": "301 N 8th St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627011041",
"country_code": "US",
"telephone_number": "217-528-7541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3801 S National Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658075210",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 N 9th St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627025317",
"country_code": "US",
"telephone_number": "217-757-6867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDGELL",
"first_name": "RANDALL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036145444",
"primary": true
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "MO",
"license": "2007015340",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "IL",
"license": "036145444",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205461205",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "redgell22320@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "redgell22320@direct-ehr-ssmhc.com",
"address_1": "1225 S Grand Blvd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631041016",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1225 S Grand Blvd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631041016",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "redgell182800@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "421 N 9th St",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627025317",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.