Randolph J Reister, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

102423 Issued in MN

Practice address

710 Division St S
Northfield, MN 55057-2468

Phone

(507) 646-1494

NPI assigned

Dec 1, 2005

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, IA, WI3 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 3

Specialty

Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northfield HospitalGroup PAC ID 2567372998, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health Care Inc Home health agency, Golden Valley, MN, CCN 248037
• JB Kummer Enterprises LLC Home health agency, Farmington, MN, CCN 248033
• Northfield Hospital Hospital, Northfield, MN, CCN 240014
• Riverwood Healthcare Center Hospital, Aitkin, MN, CCN 241305

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8fdd186f-a014-47f3-8c9e-d61f95a9a6ea/
• Direct secure messaging: randolph.reister.1@11418.direct.athenahealth.com
• Direct secure messaging: rreister3935969@direct.trinity-health.org
• Direct secure messaging: rreister615522@direct.centracare.com
• Direct secure messaging: rreister772965@direct.ochin.org
• Direct secure messaging: rreister886377@direct.unitypoint.org

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.

• Northfield Hospital

  • Rural Acute Care Hospital
  • Northfield, MN
  • NPI 1417990805
  Medicare reassignment Care Compare group NPD
• Aitkin Community Hospital, Inc.

  dba Riverwood Healthcare Center

  • Critical Access Hospital
  • Aitkin, MN
  • NPI 1942277835
  Medicare reassignment NPD
• Range Regional Health Services

  • Clinic/Center
  • Hibbing, MN
  • NPI 1669569265
  Medicare reassignment NPD
• Delaware County Memorial Hospital

  dba Regional Medical Center

  • Critical Access Hospital
  • Manchester, IA
  • NPI 1750354676
  Medicare reassignment NPD
• Burnett Medical Center Inc

  • Critical Access Hospital
  • Grantsburg, WI
  • NPI 1225191687
  Medicare reassignment NPD (past)
• Burnett Medical Center Inc

  dba Burnett Medical Center

  • Rural Health Clinic/Center
  • Grantsburg, WI
  • NPI 1356499784
  Medicare reassignment
• Delaware County Memorial Hospital

  dba Backbone Area Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929
  Medicare reassignment
• Aitkin Community Hospital, Inc.

  dba Riverwood Pharmacy Aitkin

  • Community/Retail Pharmacy
  • Aitkin, MN
  • NPI 1497377287
  NPD
• Northfield Hospital

  • Primary Care Clinic/Center
  • Lakeville, MN
  • NPI 1669685608
  NPD
• Range Regional Health Services

  • General Acute Care Hospital
  • Hibbing, MN
  • NPI 1356321699
  NPD
• Range Regional Health Services

  dba HealthLine Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • International Falls, MN
  • NPI 1710954821
  NPD
• Delaware County Memorial Hospital

  dba Regional Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Manchester, IA
  • NPI 1326073669
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aitkin Community Hospital, Inc.

  dba Riverwood Healthcare Center

  • Critical Access Hospital
  • Aitkin, MN
  • NPI 1942277835
  Care Compare affiliation
• Home Health Care, Incorporated

  • Home Health Registered Nurse
  • Golden Valley, MN
  • NPI 1255440061

  Home health agency

  Care Compare affiliation
• JB Kummer Enterprises LLC

  • Home Health Agency
  • Farmington, MN
  • NPI 1609453323
  Care Compare affiliation
• Northfield Hospital

  • Rural Acute Care Hospital
  • Northfield, MN
  • NPI 1417990805
  Care Compare affiliation

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1952385114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 9TH AVE W",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011210",
            "telephone_number": "605-845-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 DIVISION ST S",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572468",
            "telephone_number": "507-646-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISTER",
        "first_name": "RANDOLPH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "5242",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "102423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004640",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Randall, SLP, MS-CCC
• Angela Redepenning
• Alicia Marie Reed, APRN
• Kristen Nicole Reinke, MS
• Jami Reister, MD
• Angela Marie Reiter, PTA
• David Arnold Reitz, MD
• Relaunch Psychiatry Services
• Michael Charles Remes, DDS
• Carrie Ann Remmell, PSYD, LP

• Internal Medicine Physician in Northfield, MN
• Providers in Northfield, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.