Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Vincenzo Randazzo, PA

Individual provider Emergency Medicine Physician · NPI 1417034737

Mr. Vincenzo Randazzo, PA is a Physician Assistant in Lone Tree, Colorado. Qualified in 2005, 21 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and New York.

Years since qualifying
21
Licensed in
CO, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

10240 Park Meadows Dr
Lone Tree, CO 80124-5425
Phone: (303) 338-4545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 175 S Union Blvd, Colorado Springs, CO 80910 — (719) 365-1950
  • 175 S Union Blvd, Colorado Springs, CO 80910-3113 — (719) 365-1950

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0004065 (CO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence P47669 (NY)

Record details

NPI number1417034737
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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