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RANDY R. FITZGERALD DDS
NPI 1669549119
Dentist - Periodontics in Phoenix, AZ

Active since November 29, 2006Opted out of Medicare · through Mar 16, 2027
4350 E RAY RD, BUILDING 2 SUITE 110, PHOENIX, AZ 85044(480) 706-0777(480) 706-0825 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randy R. Fitzgerald Dds NPPES

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

RANDY R. FITZGERALD DDS (NPI 1669549119) is an individual periodontics provider in Phoenix, Arizona, licensed in Arizona (6988) and active in the NPI registry since November 2006. He has opted out of Medicare through March 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669549119
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameRANDY R. FITZGERALDCredential: DDS
Location Address4350 E RAY RD, BUILDING 2 SUITE 110Phoenix, AZ 85044-4703
Mailing Address4350 E Ray Rd, Building 2 Suite 110Phoenix, AZ 85044-4703 · (480) 706-0777 · Fax (480) 706-0825
Phone(480) 706-0777
Fax(480) 706-0825
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669549119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in AZ · 6988
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4350 E RAY RD, Phoenix, AZ 85044
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Randy R. Fitzgerald Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2017 through March 16, 2027.

Opt-Out Effective DateMarch 16, 2017
Opt-Out In Effect ThroughMarch 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SELENA GASTELUM
Behavior Technician
4350 E RAY RD
PHOENIX, AZ 85044
Maricopa County (602) 666-5101
MADISON BYRNES
Behavior Technician
4350 E RAY RD
PHOENIX, AZ 85044
Maricopa County (480) 900-5033
SUSANNAH PEREZ
Behavior Technician
4350 E RAY RD
PHOENIX, AZ 85044
Maricopa County (602) 666-5101
DOMINIC CHRISTOPHER GUSMAN
Behavior Technician
4350 E RAY RD
PHOENIX, AZ 85044
Maricopa County (602) 666-5101
JESSICA WILSON
Behavior Technician
4350 E RAY RD
PHOENIX, AZ 85044
Maricopa County (602) 666-5101
ANAYA HENDRIX
Behavior Technician
4350 E RAY RD
PHOENIX, AZ 85044
Maricopa County (602) 666-5101
JIYA NAOMI ADIGA
Behavior Technician
4350 E RAY RD
PHOENIX, AZ 85044
Maricopa County (602) 666-5101
CODY HUSON PT, DPT
Physical Therapist (Pediatrics)
4350 E RAY RD
PHOENIX, AZ 85044
Maricopa County (480) 704-5954

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 Randy Fitzgerald's NPI number?

The NPI number for Randy Fitzgerald is 1669549119. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Randy Fitzgerald located?

Randy Fitzgerald practices at 4350 E Ray Rd Building 2 Suite 110, Phoenix, AZ 85044. The listed phone number is (480) 706-0777.

What is Randy Fitzgerald's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Randy Fitzgerald enrolled in Medicare?

No. Randy Fitzgerald has opted out of Medicare through March 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Randy Fitzgerald accept?

Health plans from Delta Dental of Arizona list Randy Fitzgerald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randy Fitzgerald was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.