Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Samuel John Randall, M.D.

Family Medicine Physician in Beloit, WI · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942704507

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Samuel John Randall

Credential M.D.

Sex Male

Practice address West Side Clinic, 1735 Madison Road, Beloit, WI, 53511

Phone (608) 363-7510

Fax (608) 363-7528

Enumeration date Mar 20, 2018

Last updated in NPPES May 8, 2025

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 85626-20 (WI) Primary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036-156701 (IL) Secondary

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1146320276	Medicaid	MI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Samuel Randall practice?

The practice location on file with NPPES is in Beloit, WI. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Samuel Randall?

The National Provider Identifier (NPI) for Samuel Randall is 1942704507, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-08.