Individual provider Active NPI

Randy Savageau, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1548804735
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN183312 Issued in AZ
Practice address
3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136
Phone
(602) 867-8644
Fax
(602) 606-5128
NPI assigned
Oct 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN183312 AZ Primary

Addresses

Primary practice location

3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136

Mailing address

3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136
Phone (602) 867-8644

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212001915 AZ Practitioner - Nurse Practitioner 1658704234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

5620 W Thunderbird Rd
Suite F1
Glendale, AZ 85306-4652
Phone (888) 698-6727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Vascular of Tucson, LLC CurrentSince Apr 13, 2020 Accepting new patients
Summit Medical Group Arizona LLC CurrentSince Dec 6, 2021 Accepting new patients

Locations

5620 W Thunderbird Rd
Ste B2
Glendale, AZ 85306
Phone (602) 547-9405

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

28516 N El Mirage Rd
Ste 105
Peoria, AZ 85383

3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701

345 E Virginia Ave
Phoenix, AZ 85004
Phone (602) 254-3151

19003 N R H Johnson Blvd
Ste 102
Sun City West, AZ 85375

2171 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 201-4980

26500 Agoura Rd
Ste 102587
Calabasas, CA 91302
Phone (818) 880-8605

Interoperability endpoints

  • Direct secure messaging: randy.savageau.1@19654.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1548804735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 3100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322136",
            "telephone_number": "602-867-8644",
            "fax_number": "602-606-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 3100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322136",
            "telephone_number": "602-867-8644",
            "fax_number": "602-606-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGEAU",
        "first_name": "RANDY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN183312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.