Randall Lee Piette, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H08789 Issued in AZ

Practice address

10503 W Thunderbird Blvd Ste 262
Sun City, AZ 85351-3048

Phone

(623) 933-8289

Fax

(623) 933-2596

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Medical College of Wisconsin, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Maxwell GroupGroup PAC ID 3870570468, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Angels Care Home Health of Beech Home health agency, Sun City West, AZ, CCN 037413
• Emblem Home Health Phoenix Home health agency, Phoenix, AZ, CCN 037438
• Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
• Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300
• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
• Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maxwell Group

  • Internal Medicine Physician
  • Sun City, AZ
  • NPI 1912188384
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Boswell Medical Center

  • General Acute Care Hospital
  • Sun City, AZ
  • NPI 1952560914
  Care Compare affiliation
• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  Care Compare affiliation
• Beech Home Care & Medical, Inc.

  • Home Health Agency
  • Sun City West, AZ
  • NPI 1376782987
  Care Compare affiliation
• Community Hospital Association, Inc.

  • Critical Access Hospital
  • Wickenburg, AZ
  • NPI 1841282852
  Care Compare affiliation
• Rock Garden Healthcare LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1033715222
  Care Compare affiliation

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1154314243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD STE 262",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513048",
            "telephone_number": "623-933-8289",
            "fax_number": "623-933-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD STE 262",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513048",
            "telephone_number": "623-933-8289",
            "fax_number": "623-933-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETTE",
        "first_name": "RANDALL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "H08789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0870900",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110203682",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marianne Karen Pierce, OTR
• Caroline W Pilkinton, FNP-C
• Noemi Pimentel, NURSE PRACTIONER
• Pinnacle Health Facilities Xxvi LP
• Pinnacle Medical Associates LLC
• Pinnacle Vein and Vascular Center PLLC

• Internal Medicine Physician in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.