Individual provider Active NPI

Randy A Sag, M.D.

  • Diagnostic Radiology Physician
  • Fernandina Beach, FL
National Provider Identifier
1982679411
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME78209 Issued in FL
Practice address
1250 S 8TH St
Fernandina Beach, FL 32034-3067
Phone
(216) 464-5160
NPI assigned
Feb 20, 2006
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME78209 FL Primary
Diagnostic Radiology Physician 2085R0202X C1-0027505 DE

Addresses

Primary practice location

1250 S 8TH St
Fernandina Beach, FL 32034-3067

Mailing address

5655 Hudson Dr Ste 210
Aris Radiology
Hudson, OH 44236-4455
Phone (330) 655-1869

Other practice location 1

4755 Ogletown Stanton Road
Newark, DE 19718-2200
Phone (302) 733-1840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, DE, NY, MI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20050910000048 FL Practitioner - Diagnostic Radiology 2062444029 Reassigns benefits to 15 organizations
I20110204000796 SC Practitioner - Diagnostic Radiology 2062444029 Reassigns benefits to 1 organization
I20241107003325 DE Practitioner - Diagnostic Radiology 2062444029 Reassigns benefits to 1 organization
I20241126002812 NY Practitioner - Diagnostic Radiology 2062444029 Reassigns benefits to 2 organizations
I20241209003792 MI Practitioner - Diagnostic Radiology 2062444029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (747) 293-9005

10706 Versailles Blvd
Wellington, FL 33449-8086
Phone (317) 614-9881

2640 Lake Shore Dr
Unit 2310
Riviera Beach, FL 33404-4674
Phone (469) 757-1042

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0027505DEMDDiagnostic Radiology Physician
ME78209FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Radiology Medical Group, Inc. Diagnostic Radiology Current Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Feb 3, 2021 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Dec 11, 2018 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Oct 1, 2024 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince May 7, 2021 Accepting new patients
Pennsylvania Radiology Associates PC Diagnostic Radiology CurrentSince Jul 29, 2025 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Oct 1, 2024 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
Bayhealth Radiologists LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Central Valley Community Medical Imaging Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Elite Imaging LLC Diagnostic Radiology Current Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Aug 14, 2024 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Dec 11, 2018 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Rose Radiology Centers, LLC CurrentSince May 1, 2020 Accepting new patients
Edward W Sparrow Hospital Association Current Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Dec 9, 2024 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Jul 15, 2019 Accepting new patients
Riverside Radiology Medical Group Inc Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Aug 14, 2024 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Dec 9, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Radiology Partners of Iowa Inc Diagnostic Radiology CurrentSince Jan 15, 2021 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 19, 2024 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Aug 14, 2024 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Sep 19, 2024 Accepting new patients
Heart Specialists of Sarasota PL Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Sterling Radiology of FL, PA Diagnostic Radiology Past Accepting new patients
Nassau Medical Imaging, PA Diagnostic Radiology Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients
Lake West Services, Inc Past Accepting new patients
Euclid Radiology Services LLC Past Accepting new patients

Locations (25 of 37)

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4500 Brockton Ave
Ste 219
Riverside, CA 92501
Phone (951) 276-7550

4510 Brockton Ave
Ste 175
Riverside, CA 92501
Phone (951) 786-5100

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

3347 S State Road 7
Ste 100
Wellington, FL 33449
Phone (561) 795-5558

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rsag1236720@direct.llu.edu
  • Direct secure messaging: rsag712515@direct.shands.ufl.edu

Organizations & group practices 37

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

View all 37

Hospital & facility affiliations 58

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

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1982679411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 210",
            "address_2": "ARIS RADIOLOGY",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364455",
            "telephone_number": "330-655-1869",
            "fax_number": "330-655-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 8TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343067",
            "telephone_number": "216-464-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1840",
            "fax_number": "302-733-1633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAG",
        "first_name": "RANDY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME78209",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0027505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.