Randolph R Knight, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10087 Issued in NH

Practice address

5 S Main St Ste 302
White River Junction, VT 05001-7146

Phone

(866) 679-0831

Fax

(802) 332-3117

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH, VT2 enrollments

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 2

Specialty

Emergency Medicine

Education

University of Virginia School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bluewater Emergency Partners of Brunswick, LLC

  • Emergency Medicine Physician
  • Brunswick, ME
  • NPI 1043640204

  VT

  Medicare reassignment NPD
• Littleton Hospital Association

  • Critical Access Hospital
  • Littleton, NH
  • NPI 1144223702
  Medicare reassignment NPD
• Belonging Medical Group PLLC

  • General Practice Physician
  • Hanover, NH
  • NPI 1912482787
  NPD
• Littleton Hospital Association

  • Durable Medical Equipment & Medical Supplies
  • Littleton, NH
  • NPI 1174398846
  NPD
• Total Wellness Centers, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • West Springfield, MA
  • NPI 1770816506
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1942320106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1110",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024711110",
            "telephone_number": "866-679-0831",
            "fax_number": "802-332-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S MAIN ST STE 302",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050017146",
            "telephone_number": "866-679-0831",
            "fax_number": "802-332-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "456 Union St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031035215",
            "country_code": "US",
            "telephone_number": "866-679-0831",
            "fax_number": "802-332-3117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "RANDOLPH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0014564",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME143693",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "10087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ORE4593",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Kinkelaar, APRN
• Mark M. Klampert, DDS
• Mary Lang Kline, CNS,APRN
• Robert Kline
• Sarah Knapp, PH.D.
• Mark G Koch, LMFT
• Sarah Kohl, PSYD
• Luiz Mauricio Kolankiewicz, M.D.
• Steven P Kostas, M.S., CCC-SLP
• Catherine Jane Kutter, PH.D.

• Family Medicine Physician in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.