Active NPI
Randy Kauk, NP
- Acute Care Nurse Practitioner
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN168849
- Practice address
- 10448 E Penstamin Dr
Scottsdale, AZ 85255-2446 - Phone
- (313) 587-7228
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP11037 | AZ | |
| Acute Care Nurse Practitioner | 363LA2100X | RN168849 | AZ | Primary |
Addresses
Primary practice location
10448 E Penstamin Dr
Scottsdale, AZ 85255-2446
Mailing address
10448 E Penstamin Dr
Scottsdale, AZ 85255-2446
Phone (313) 587-7228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180314001204 | AZ | Practitioner - Nurse Practitioner | 1456613256 | Reassigns benefits to 9 organizations |
| I20240521002236 | CA | Practitioner - Nurse Practitioner | 1456613256 | |
| I20240619002477 | FL | Practitioner - Nurse Practitioner | 1456613256 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Corner Health Medical Group P aOpenloop Healthcare Partners PC
Practice addresses (Care Compare)
15323 N Scottsdale Rd
Suite 180
Scottsdale, AZ 85254-2676
Phone (425) 243-3719
18198 W Hope Dr
Goodyear, AZ 85338-5595
Phone (304) 225-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP11037 | AZ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Pain Management Inc | Current | Accepting new patients | |
| Openloop Healthcare Partners PC | Nurse Practitioner | Current | Accepting new patients |
| Hope Diabetes Center, LLC | Current | Accepting new patients | |
| Corner Health Medical Group P a | Current | Accepting new patients | |
| Advanced Minimally Invasive Surgical | Current | Accepting new patients | |
| United Telehealth Corp | Current | Accepting new patients | |
| Effideen Ameerally MD PC | Current | Accepting new patients | |
| Scottsdale Physicians Group PLC | Current | Accepting new patients | |
| RJK Medical | Adult Health | Current | Accepting new patients |
| Advanced Minimally Invasive Surgical | Current | Accepting new patients | |
| New Vida Medical LLC | Past | Accepting new patients |
Locations
1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644
7436 E Main St
Ste 2
Mesa, AZ 85207
Phone (480) 983-5111
7436 E Main St
Ste 1
Mesa, AZ 85207
Phone (405) 921-2503
3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933
1134 E University Dr
Ste 111
Mesa, AZ 85203
Phone (480) 398-1220
3130 E Baseline Rd
Ste 105
Mesa, AZ 85204
Phone (480) 497-5933
3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806
5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621
2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719
9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700
202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072
3120 Willow Creek Rd
Unit 100
Prescott, AZ 86301
Phone (480) 750-8130
1000 Willow Creek Rd
Ste D
Prescott, AZ 86301
Phone (928) 458-7343
10115 E Bell Rd
Ste 107
Scottsdale, AZ 85260
15323 N Scottsdale Rd
Ste 180
Scottsdale, AZ 85254
Phone (315) 707-5676
7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720
7975 N Hayden Rd
Ste C380
Scottsdale, AZ 85258
Phone (480) 214-9720
8897 E Desert CV Ave
1St FL
Scottsdale, AZ 85260
8997 E Desert Cove Ave
Fl 1
Scottsdale, AZ 85260
Phone (480) 664-3317
312 Arizona Ave
Ste 314
Santa Monica, CA 90401
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311
6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577
17 G W Tatro Dr
Jeffersonvlle, VT 05464
Phone (912) 515-6641
Interoperability endpoints
- randy.kauk@202362935902212.direct.elationemr.com
Organizations & group practices 12
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.
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
AZ, Nurse Practitioner
-
- Interventional Pain Medicine Physician
- Casa Grande, AZ
- NPI 1881866754
AZ
-
- Podiatrist
- Sun City West, AZ
- NPI 1992486138
-
- Clinic/Center
- Mesa, AZ
- NPI 1508689274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1982131702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10448 E PENSTAMIN DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852552446",
"telephone_number": "313-587-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10448 E PENSTAMIN DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852552446",
"telephone_number": "313-587-7228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUK",
"first_name": "RANDY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP11037",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "RN168849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.