MR. VINCENZO RANDAZZO PA
NPI 1417034737
Physician Assistant - Medical in Lone Tree, CO

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
10240 PARK MEADOWS DR, LONE TREE, CO 80124(303) 338-4545 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2021, Jul 2, 2018, Mar 29, 2016 (3 updates tracked since 2016).

About Mr. Vincenzo Randazzo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. VINCENZO RANDAZZO PA (NPI 1417034737) is an individual medical provider in Lone Tree, Colorado, licensed in Colorado (PA.0004065) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1417034737
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. VINCENZO RANDAZZOCredential: PA
Location Address10240 PARK MEADOWS DRLone Tree, CO 80124-5425
Mailing Address10350 E Dakota AveDenver, CO 80247-1314
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 27, 20213 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
NPI 1417034737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · PA.0004065
Also ListedEmergency MedicineTaxonomy 207P00000X · License P47669 (NY)
10240 PARK MEADOWS DR, Lone Tree, CO 80124

Secondary Practice Location 1

Location 1175 S Union Blvd, Ste 300Colorado Springs, CO 80910-3113 · Phone (719) 365-1950

Other Identifiers 1

Other028228CO · Kaiser Commercial Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Vincenzo Randazzo Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476868126
PECOS Enrollment IDI20150811003442
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Registered Nurse
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Physical Therapist
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Registered Nurse
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Nurse Practitioner (Family)
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Nurse Practitioner (Adult Health)
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Specialist/Technologist, Other (Surgical Assistant)
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Physical Therapist
10240 PARK MEADOWS DR
LONE TREE, CO 80124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincenzo Randazzo's NPI number?

The NPI number for Vincenzo Randazzo is 1417034737. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Vincenzo Randazzo located?

Vincenzo Randazzo practices at 10240 Park Meadows Dr, Lone Tree, CO 80124. The listed phone number is (303) 338-4545.

What is Vincenzo Randazzo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Vincenzo Randazzo enrolled in Medicare?

Yes. Vincenzo Randazzo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vincenzo Randazzo was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.