Organization Active NPI

Savoy Life Medical Group PC

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1003692732
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAVOY LIFE MEDICAL GROUP PC
Practice address
1511 3Rd Ave Ste 714
Seattle, WA 98101-1683
Phone
(509) 652-2516
NPI assigned
Sep 7, 2023
Reactivated
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Piyush Gupta, MDNPI 1780945212
Title
Chief Clinical Officer
Phone
(203) 685-1653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1511 3Rd Ave Ste 714
Seattle, WA 98101-1683

Mailing address

440 N Barranca Ave # 9906
Covina, CA 91723-1722
Phone (509) 652-2516

Other practice location 1

12709 E Mirabeau Pkwy Ste 300
Spokane Valley, WA 99216-1665
Phone (509) 402-2093

Other practice location 2

2512 N Stokesberry Pl Ste 101
Meridian, ID 83646-1135
Phone (208) 506-2860

Other practice location 3

1 S Church Ave Ste 1200
Tucson, AZ 85701-1601
Phone (509) 652-2516

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2316755Savoy Life Medical Group Az1 S Church Ave Ste 1200, Tucson, AZ 85701Certificate of waiverJan 12, 2027
50D2319488Savoy Life1511 3Rd Ave Ste 714, Seattle, WA 98101Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

9095 E Tanque Verde Rd
Tucson, AZ 85749

9095 E Tanque Verde Rd
Ste 171
Tucson, AZ 85749

9095 E Tanque Verde Rd
Unit 171134
Tucson, AZ 85749
Phone (509) 652-2516

1 S Church Ave
Ste 900
Tucson, AZ 85701
Phone (509) 652-2516

440 N Barranca Ave
Covina, CA 91723
Phone (510) 210-5030

739 E Parkcenter Blvd
Ofc
Boise, ID 83706
Phone (208) 506-2860

767 E Parkcenter Blvd
Ofc
Boise, ID 83706
Phone (208) 506-2860

4080 Hawthorne Rd
Chubbuck, ID 83202
Phone (208) 237-3000

205 E Anton Ave
Ofc
Coeur D Alene, ID 83815
Phone (208) 506-2860

2975 Juniper Dr
Ofc
Lewiston, ID 83501
Phone (208) 506-2860

1511 3rd Ave
Ste 714
Seattle, WA 98101
Phone (509) 652-2516

12709 E Mirabeau Pkwy
#3001
Spokane Valley, WA 99216

12709 E Mirabeau Pkwy
Ste 3001
Spokane Valley, WA 99216
Phone (509) 402-2093

12709 E Mirabeau Pkwy
Ste 300
Spokane Valley, WA 99216
Phone (469) 405-1577

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1003692732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 9906",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "509-652-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 3RD AVE STE 714",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011683",
            "telephone_number": "509-652-2516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12709 E Mirabeau Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161665",
            "country_code": "US",
            "telephone_number": "509-402-2093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2512 N Stokesberry Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836461135",
            "country_code": "US",
            "telephone_number": "208-506-2860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 S Church Ave Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857011601",
            "country_code": "US",
            "telephone_number": "509-652-2516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAVOY LIFE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2026-08-05",
        "certification_date": "2026-03-23",
        "deactivation_date": "2026-05-01",
        "reactivation_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "PIYUSH",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "203-685-1653",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.