DR. KAILIN ELIZABETH CORNWALL RANDOLPH MD
NPI 1285376673
Student in an Organized Health Care Education/Training Program in Verona, WI
NPI Status: Active since April 07, 2022
Contact Information
100 N NINE MOUND RD
VERONA, WI
ZIP 53593
Phone: (608) 845-9531
Fax: (608) 845-8684
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About KAILIN RANDOLPH
This page provides the complete NPI Profile along with additional information for Kailin Randolph, a primary care provider established in Verona, Wisconsin with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1285376673 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1285376673
- Provider Name
- DR. KAILIN ELIZABETH CORNWALL RANDOLPH MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 100 N NINE MOUND RD VERONA, WI 53593
- Location Phone
- (608) 845-9531
- Location Fax
- (608) 845-8684
- Mailing Address
- 100 N NINE MOUND RD VERONA, WI 53593
- Mailing Phone
- (608) 845-9531
- Mailing Fax
- (608) 845-8684
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-07-2022
- Last Update Date
- 04-07-2022
- Code Navigator
A primary care provider (PCP) like Kailin Randolph sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Kailin Randolph is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. KAILIN ELIZABETH CORNWALL RANDOLPH MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 3 | 7 | 6 | 6 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 6 | 7 | 12 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 6 + 7 + 1 + 2 + 6 + 1 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1285376673 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871737833 | DR. JASON ALAN RICCO M.D. Individual | Family Medicine | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1184684995 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC Organization | Durable Medical Equipment & Medical Supplies | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1881659902 | MRS. KAREN B WENDLER PA C Individual | Physician Assistant (Medical) | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1326085069 | BRIAN G ARNDT MD Individual | Family Medicine | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1922296268 | MRS. ELAINE M MAKAROWSKI NP Individual | Nurse Practitioner (Adult Health) | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1205223708 | ALLISON D COUTURE DO Individual | Family Medicine | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1063772275 | DR. MARK WILLIAM WIRTZ Individual | Family Medicine | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1649235755 | KATHLEEN E CARR MD Individual | Family Medicine | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1841459658 | DR. MAGNOLIA JEAN LARSON DO Individual | Family Medicine | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1912290594 | THOMAS W HAHN MD Individual | Family Medicine | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1689932576 | ERIN M HAMMER MD Individual | Family Medicine | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1356514160 | DR. SARAH JEAN JAMES D.O. Individual | Family Medicine | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1376620450 | JULIE E SHERRY Individual | Physical Therapist | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1699792440 | DANIEL E ENZ Individual | Physical Therapist | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1700971256 | MS. REBEKAH LYNN CHAPMAN DPT Individual | Physical Therapist | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1033851431 | DR. MOLLY RUTH VERNON MD Individual | Student in an Organized Health Care Education/Training Program | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1154063550 | DR. RUTVI SHAH MD Individual | Student in an Organized Health Care Education/Training Program | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1679268072 | BRIANA DANIELLE KREWSON DO Individual | Student in an Organized Health Care Education/Training Program | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1871288266 | SHEZA DALLOUL MD Individual | Student in an Organized Health Care Education/Training Program | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-9531 |
| 1124710405 | MICHAEL GILLCRIST PT Individual | Physical Therapist | 100 N NINE MOUND RD VERONA, WI 53593 (608) 845-1955 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285376673, enumerated in the NPI registry as an "individual" on April 07, 2022
The provider is located at 100 N Nine Mound Rd Verona, Wi 53593 and the phone number is (608) 845-9531
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 07, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.