Individual provider Active NPI

Randy Kauk, NP

  • Acute Care Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1982131702
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN168849 Issued in AZ
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

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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 a 36 clinicians
Openloop Healthcare Partners PC 47 clinicians

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

LicenseStateTypeSpecialty
AP11037AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Pain Management Inc CurrentSince Aug 1, 2023 Accepting new patients
Openloop Healthcare Partners PC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Hope Diabetes Center, LLC CurrentSince Dec 3, 2023 Accepting new patients
Corner Health Medical Group P a CurrentSince Aug 2, 2025 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince Mar 4, 2023 Accepting new patients
United Telehealth Corp CurrentSince Aug 1, 2020 Accepting new patients
Effideen Ameerally MD PC CurrentSince Apr 21, 2018 Accepting new patients
Scottsdale Physicians Group PLC CurrentSince Jul 9, 2019 Accepting new patients
RJK Medical Adult Health CurrentSince Oct 15, 2023 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince Mar 4, 2023 Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.