Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063531390 Individual Practitioner Male Practitioner

Dr. Kerry Randolph , MD

Internal Medicine • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Dr. Kerry Randolph, MD is a registered healthcare professional specializing in Internal Medicine in Springfield, MO. Practice services are available at 3525 S NATIONAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3525 S National Ave
Ste 101

Springfield, MO 658077310

Telephone 4172695711
Associated Practice Facility / Clinic
🏢 Lester E Cox Medical Centers Facility NPI 1184657058

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.2 Yrs
State Avg: 25.5 Yrs
Regional Practice Density
147 Specialists

Practicing in Springfield, MO (2747 Statewide)

Telehealth Adoption Rate
12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MO R9C05

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem Bluecross
27694

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Stephanie Swearengin

Nurse Practitioner

NPI 1013849652
Maryann Blevins , NP

Nurse Practitioner

NPI 1073610895

Nurse Practitioner

Dr. Manuel Camejo , MD

Obstetrics & Gynecology

NPI 1225016637

Doctor of Medicine (M.D.)

Kristin Torgerson , FNP

Nurse Practitioner

NPI 1255749511

Family Nurse Practitioner

Dr. Nabil Kamel , MD

Internal Medicine - Geriatric Medicine

NPI 1326080276

Doctor of Medicine (M.D.)

NPI 1386643773

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3525 S NATIONAL AVE, STE 101, SPRINGFIELD, MO 658077310 (Tel: 4172695711)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 4046, SPRINGFIELD, MO 658084046 (Tel: 4172696262)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KERRY RANDOLPH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #R9C05 in MO)

🟢
Initial NPI Registration & Enumeration March 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063531390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 4046

Springfield, MO 658084046

Phone: 4172696262

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.