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

Samuel John Randall, MD

Individual provider Family Medicine Physician · NPI 1942704507

Samuel John Randall, MD is a Family Practice in Beloit, Wisconsin. Qualified in 2021, 5 years ago. Practices with Beloit Health System Inc, a 141-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
5
Licensed in
IL, WI
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

West Side Clinic 1735 Madison Road
Beloit, WI 53511-3216
Phone: (608) 363-7510
Fax: (608) 363-7528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 85626-20 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036-156701 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942704507
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESMay 8, 2025
Certification dateJune 16, 2023
Mailing addressWest Side Clinic, 1735 Madison Road, Beloit, WI 53511-3216

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Beloit Health System Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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