RANDALL KLEIN (PA) – Physician Assistant, NPI 1770525743

RANDALL KLEIN (PA) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601002654 (MI). The NPI Number for RANDALL KLEIN (PA) is 1770525743

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
RANDALL KLEIN (PA)
NPI
1770525743
Phone
Not provided
Address
100 MICHIGAN ST NE
Enumeration Date
12 June 2006
Last Update Date
25 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
1999 (27 years ago)
PAC ID
2466480876
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20050727000905
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
rkleinpa8243@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for RANDALL KLEIN (PA)

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    MC 845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Holland Hospital, 602, Michigan Avenue, Holland, Ottawa County, Michigan, 49423, United States

    HOLLAND, MI 494234918

    Phone: (616) 392-3824

    Fax: (616) 494-5950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Medtronic, Inc. ($25).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050727000905IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes227209$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4435$0
99213Established patient office or other outpatient visit, 20-29 minutes2222$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I cross-check RANDALL KLEIN (PA) using NPI 1770525743?
NPI 1770525743 belongs to RANDALL KLEIN (PA); compare other details if you need extra assurance.
Would RANDALL KLEIN (PA) appear as active to a payer?
You can treat RANDALL KLEIN (PA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is RANDALL KLEIN (PA)?
RANDALL KLEIN (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is RANDALL KLEIN (PA) registered?
Use Grand Rapids, Michigan as the headline location for RANDALL KLEIN (PA) here.
Does RANDALL KLEIN (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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