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

Randall I Kline, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1659366276

Randall I Kline, DPM is a Podiatry in South Bend, Indiana. Qualified in 2000, 26 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
26
Licensed in
IN
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

211 N Eddy St
South Bend, IN 46617-3096
Phone: (574) 247-4667
Fax: (574) 271-4458
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 07000940A (IN)

Record details

NPI number1659366276
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023
Mailing address211 N Eddy St, South Bend, IN 46617-3096

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Bend