NPIMap

Individual provider Active NPI

Randy Kent Bell, M.D.

  • Internal Medicine Physician
  • Jackson, MI
National Provider Identifier
1952573602
Registry record updated Mar 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301106537 Issued in MI
Practice address
1401 W North St
Allegiance North Street
Jackson, MI 49202-3135
Phone
(517) 205-2555
Fax
(517) 205-0117
NPI assigned
Apr 1, 2008
Last updated
Mar 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301106537 MI Primary

Addresses

Primary practice location

1401 W North St
Allegiance North Street
Jackson, MI 49202-3135

Mailing address

1401 W North St
Allegiance North Street
Jackson, MI 49202-3135
Phone (517) 782-2555

Other identifiers 2

IdentifierTypeStateIssuer
1952573602MedicaidMI
1952573602MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbell3@hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150211002198 MI Practitioner - Internal Medicine 7214106152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

130 N Sherman St
Leslie, MI 49251-9409

1401 W N St
Hfa Walk in Clinic North Street
Jackson, MI 49202-3135
Phone (517) 205-2555

205 N E Ave
Jackson, MI 49201-1753

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Foote Memorial Hospital, Inc CurrentSince Mar 1, 2015 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Mar 1, 2015 Accepting new patients
W. a. Foote Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Henry Ford Pathology Current Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations

1401 W North St
Jackson, MI 49202
Phone (517) 205-2555

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

Interoperability endpoints

  • Direct secure messaging: rbell452715@direct.hfhs.org

Organizations & group practices 5

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 4

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1952573602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W NORTH ST",
            "address_2": "ALLEGIANCE NORTH STREET",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023135",
            "telephone_number": "517-782-2555",
            "fax_number": "517-782-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W NORTH ST",
            "address_2": "ALLEGIANCE NORTH STREET",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023135",
            "telephone_number": "517-205-2555",
            "fax_number": "517-205-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "RANDY",
        "middle_name": "KENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301106537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952573602",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952573602",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbell3@hfhs.org",
            "affiliation": "N",
            "address_1": "1401 W North St",
            "address_2": "Allegiance North Street",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492023135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.