DR. RANDY LYLE CALISOFF (M.D.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1205920659

Excluded from federal healthcare programs (Medicare/Medicaid)

This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2024-08-20. Reason: License revocation, suspension, or surrender.

Pain Medicine (Physical Medicine & Rehabilitation) Physician

DR. RANDY LYLE CALISOFF (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in Pain Medicine (Physical Medicine & Rehabilitation) Physician. They hold the professional credentials M.D.. They hold a License No. 036-123018 (IL). The NPI Number for DR. RANDY LYLE CALISOFF (M.D.) is 1205920659

Main info

Male

21 Years Of Experience

Accepts Medicare Assignment

Name

DR. RANDY LYLE CALISOFF (M.D.)

NPI

1205920659

Phone

(312) 238-7800

Address

345 E SUPERIOR ST FL 12

Enumeration Date

2 October 2006

Last Update Date

22 April 2022

Doctor Profile

Medical School Name

UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)

Secondary Phone

3122381000

Graduation Year

2005 (21 years ago)

PAC ID

6800064023

Group Practice PAC ID

4880598978

Professional Enrollment ID

I20110714000108

Contacts

Secure Messaging

rcalisoff@direct.ric.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience72

Completeness85

Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. RANDY LYLE CALISOFF (M.D.)

East Superior Street, Magnificent Mile, Gold Coast, Near North Side, Chicago, North Chicago Township, Cook County, Illinois, 60611, United States
CHICAGO, IL 606112654
Phone: (312) 238-7800
Fax: (312) 238-7801
Type: Mailing
355 E ERIE ST FL 14
CHICAGO, IL 606113167
Phone: (312) 238-7800
Fax: (312) 238-7801
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4880598978View full group profile

Name	Specialty	State
DR. MATTHEW CLIFFORD OSWALD (M.D.)	Physical Medicine And Rehabilitation	IL
CHRISTOPHER REGER (MD)	Physical Medicine And Rehabilitation	IL
DR. PETER HURH (MD)	-	IL
JENNA NICOLE SARNA (NP-C)	Nurse Practitioner	IL
BONITA S ALEXANDER (MD)	Physical Medicine And Rehabilitation	IL
SANTIAGO DELEON TOLEDO (MD)	-	IL
ELLIOT ROTH (MD)	Physical Medicine And Rehabilitation	IL
KARINA J BOUFFARD (M.D.)	Physical Medicine And Rehabilitation, Pain Management	IL
JULIE WHITTINGTON-CIRTON (MD)	Physical Medicine And Rehabilitation	IL
DR. JENNIFER G GOLDMAN (MD)	-	IL

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Frequently asked questions

Does DR. RANDY LYLE CALISOFF (M.D.) have a public NPI I can cite?

Public records show DR. RANDY LYLE CALISOFF (M.D.) under NPI 1205920659.

Does the public listing show DR. RANDY LYLE CALISOFF (M.D.) as active?

DR. RANDY LYLE CALISOFF (M.D.)'s NPI record reflects an active status in NPPES.

Which specialty label fits DR. RANDY LYLE CALISOFF (M.D.)?

NPPES ties DR. RANDY LYLE CALISOFF (M.D.) to Pain Medicine (Physical Medicine & Rehabilitation) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

Which community is linked to DR. RANDY LYLE CALISOFF (M.D.)?

DR. RANDY LYLE CALISOFF (M.D.) shows a connection to Chicago, Illinois in registry-derived data.

Why is information missing for DR. RANDY LYLE CALISOFF (M.D.)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.