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Active NPI 1265415392 Individual Practitioner Male Practitioner

Dr. Randel C Davis , DO

Emergency Medicine • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Randel Davis, DO is a registered healthcare professional specializing in Emergency Medicine in Phoenix, AZ. Practice services are available at 2000 W BETHANY HOME RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2000 W Bethany Home Rd

Phoenix, AZ 850152443

Telephone 6022490212
Associated Practice Facility / Clinic
🏢 Vhs Of Phoenix Inc Facility NPI 1477537363

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 17.4 Yrs
Regional Practice Density
399 Specialists

Practicing in Phoenix, AZ (1535 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
13 13 $940.00 $172.76

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License AZ 2484

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
078817 (AZ)
Commercial Insurance / Payer ID Healthnet - Group #
AW1436 (AZ)
Commercial Insurance / Payer ID Group Health - Group #
453051001 (AZ)
Commercial Insurance / Payer ID Humana - Group #
860373636 (AZ)
Commercial Insurance / Payer ID Blue Cross Blue Shield
AZ0728670 (AZ)
Commercial Insurance / Payer ID Evercare - Group #
3981220 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Joseph Choi

Emergency Medicine

NPI 1003266792
Natalie Booty , PA-C

Physician Assistant

NPI 1033691670

Physician Assistant (Certified)

Shannon Cherayil

Student in an Organized Health Care Education/Training Program

NPI 1063092641
Dr. Izunna Ezekwesili , MD

Student in an Organized Health Care Education/Training Program

NPI 1083408462

Doctor of Medicine (M.D.)

Dr. Timothy Ryan , DO

Emergency Medicine

NPI 1104807213

Doctor of Osteopathic Medicine (D.O.)

Michelle Tesser , FNP-C

Nurse Practitioner - Family

NPI 1124724760

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2000 W BETHANY HOME RD, PHOENIX, AZ 850152443 (Tel: 6022490212)

📍
Updated Business Mailing Address July 08, 2007

Registered at 15623 S 16TH ST, PHOENIX, AZ 850488632 (Tel: 4804604525)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RANDEL DAVIS, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #2484 in AZ)

🟢
Initial NPI Registration & Enumeration November 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265415392
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2005
Last Update: November 27, 2018
Sole Proprietor: Yes

Mailing Address

15623 S 16th St

Phoenix, AZ 850488632

Phone: 4804604525

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.