Active NPI
Savoy Life Medical Group PC
- Internal Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Piyush Gupta, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2316755 | Savoy Life Medical Group Az | Certificate of waiver | Jan 12, 2027 |
| 50D2319488 | Savoy Life | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- West Haven, CT
- NPI 1780945212
-
- Family Nurse Practitioner
- Maple Valley, WA
- NPI 1114420734
-
- Gerontology Nurse Practitioner
- Tucson, AZ
- NPI 1073945606
-
- Emergency Medicine Physician
- Framingham, MA
- NPI 1932157021
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.