NPIMap

Individual provider Active NPI

Randy S. Weisman, M.D

  • Critical Care Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
National Provider Identifier
1881670263
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME65246 Issued in FL
Practice address
3370 N. Hayden Rd.
#123-407
Scottsdale, AZ 85251
Phone
(480) 947-1130
Fax
(480) 947-1132
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME65246 FL Primary
Pulmonary Disease Physician 207RP1001X ME65246 FL

Addresses

Primary practice location

3370 N. Hayden Rd.
#123-407
Scottsdale, AZ 85251

Mailing address

3370 N. Hayden Rd.
#123-407
Scottsdale, AZ 85251
Phone (480) 947-1130

Other identifiers 2

IdentifierTypeStateIssuer
191243OtherAZAHCCCS - ARIZONA
272333600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000212 AZ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 2567563463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Albert Einstein College of Medicine of Yeshiva University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scottsdale Pulmonary and Critical Care LLCGroup PAC ID 3375876758, 13 clinicians

Practice addresses (Care Compare)

7301 E 2ND St
Suite 315
Scottsdale, AZ 85251-5627
Phone (480) 994-9838

Hospital & facility affiliations

  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Tempe Medical Center Hospital, Phoenix, AZ, CCN 030037
  • Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME65246FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Randy S Weisman MD PLLC Critical Care Medicine Current Accepting new patients
Scottsdale Pulmonary and Critical Care, LLC Critical Care Medicine CurrentSince Sep 1, 2019 Accepting new patients
Hull & Hull Medical Specialists, LLP Critical Care Medicine Past Accepting new patients
Honorhealth Past Accepting new patients

Locations

7301 E 2nd St
Ste 315
Scottsdale, AZ 85251
Phone (480) 947-7711

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1881670263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 N. HAYDEN RD.",
            "address_2": "#123-407",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "480-947-1130",
            "fax_number": "480-947-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 N. HAYDEN RD.",
            "address_2": "#123-407",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "480-947-1130",
            "fax_number": "480-947-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "RANDY",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME65246",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME65246",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS - ARIZONA",
            "identifier": "191243",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272333600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.