Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob Russell Randich, DPM

Individual provider Podiatrist · NPI 1922668755

Dr. Jacob Russell Randich, DPM is a Podiatry in Sikeston, Missouri. Graduated from William M. Scholl College of Podiatric Medicine in 2019, 7 years ago. Practices with Health Facilities Rehab Services Inc, a 149-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
7
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
IL
In the registry since
2019
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

203 Plaza Dr
Sikeston, MO 63801
Phone: (573) 475-6488
Fax: (573) 475-6489
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 135.001050 (IL)

Record details

NPI number1922668755
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 14, 2019
Last updated in NPPESNovember 20, 2023
Certification dateNovember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Health Facilities Rehab Services Inc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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