Active NPI
Randy D Readling, M.D.
- Psychiatry Physician
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 93-00292
- Practice address
- 320 S Walnut St
Appleton, WI 54911-5918 - Phone
- (920) 832-5270
- Fax
- (920) 832-4767
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.147764 | IL | |
| Psychiatry Physician | 2084P0800X | 1160 | WI | |
| Psychiatry Physician | 2084P0800X | 93-00292 | NC | Primary |
Addresses
Primary practice location
320 S Walnut St
Appleton, WI 54911-5918
Mailing address
4525 N Ravenswood Ave Ste 201
Chicago, IL 60640-5201
Phone (312) 857-8794
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9300292 | Other | NC | NC MEDICAL LICENSE |
| 036.147764 | Other | IL | IL MEDICAL LICENSE |
| 1160 | Other | WI | WI MEDICAL LICENSE |
| 93-00292 | Other | NC | MEDICAL LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | midwestmedical@midwestmedicalcenter.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 S Walnut St
Appleton, WI 54911-5918
Phone (920) 832-1624
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1160 | WI | MD | Marriage & Family Therapist |
| 036.147764 | IL | MD | Psychiatry Physician |
| 93-00292 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Outagamie | Current | Accepting new patients | |
| Midwest Medical Center | Current | Accepting new patients | |
| Midwest Medical Center | Current | Accepting new patients | |
| Department of Veterans Affairs | Past | Accepting new patients |
Locations
1 Medical Center Dr
Galena, IL 61036
Phone (815) 776-7381
320 S Walnut St
Appleton, WI 54911
Phone (920) 832-1624
Interoperability endpoints
- midwestmedical@midwestmedicalcenter.cernerdirect.com
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Appleton, WI
- NPI 1629138995
-
- Critical Access Hospital
- Galena, IL
- NPI 1952409765
-
- Rural Health Clinic/Center
- Elizabeth, IL
- NPI 1295286045
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1073863197
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Galena, IL
- NPI 1952409765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1952361610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 N RAVENSWOOD AVE STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405201",
"telephone_number": "312-857-8794",
"fax_number": "708-575-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 S WALNUT ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549115918",
"telephone_number": "920-832-5270",
"fax_number": "920-832-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "READLING",
"first_name": "RANDY",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2023-03-07",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.147764",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "1160",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "93-00292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAL LICENSE",
"identifier": "9300292",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL MEDICAL LICENSE",
"identifier": "036.147764",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI MEDICAL LICENSE",
"identifier": "1160",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "93-00292",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "midwestmedical@midwestmedicalcenter.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Midwest Medical Center Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1 Medical Center Dr",
"city": "Galena",
"state": "IL",
"country_code": "US",
"postal_code": "610368118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.