Dr Alysha Keren Vartevan, DO - Medicare Diagnostic Radiology in Phoenix, AZ

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Dr Alysha Keren Vartevan, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Phoenix, Arizona. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Smi Imaging Llc, Health Diagnostics Of California A Professional Corporation and her current practice location is 4130 E Van Buren St Ste 100, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 244-2442.

Dr Alysha Keren Vartevan is licensed to practice in Arizona (license number 007167) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962748574.

Contact Information

Dr Alysha Keren Vartevan, DO
4130 E Van Buren St Ste 100,
Phoenix, AZ 85008-6996
(602) 244-2442
(602) 244-2445

Map and Direction




Physician's Profile

Full NameDr Alysha Keren Vartevan
GenderFemale
SpecialityDiagnostic Radiology
Experience12 Years
Location4130 E Van Buren St Ste 100, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Alysha Keren Vartevan graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1962748574
  • Provider Enumeration Date: 12/31/2012
  • Last Update Date: 11/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4789909938
  • Enrollment ID: I20230613001000

Medical Identifiers

Medical identifiers for Dr Alysha Keren Vartevan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962748574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology OS12901 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology 007167 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smi Imaging Llc3476696220234
Health Diagnostics Of California A Professional Corporation428462152587

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Alysha Keren Vartevan allows following entities to bill medicare on her behalf.
Entity NameSimonmed Imaging Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477830818
PECOS PAC ID: 6608036108
Enrollment ID: O20160512001501
Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180824001718
Entity NameHealth Diagnostics Of California A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104321959
PECOS PAC ID: 4284621525
Enrollment ID: O20180825000005
Entity NameHoward John Simon Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932768934
PECOS PAC ID: 1658602263
Enrollment ID: O20200303002255
Entity NameSimonmed Reno Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306576145
PECOS PAC ID: 5991140360
Enrollment ID: O20240611002465

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alysha Keren Vartevan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Alysha Keren Vartevan, DO
6040 E Lafayette Blvd,
Scottsdale, AZ 85251-3028

Ph: (407) 340-0815		Dr Alysha Keren Vartevan, DO
4130 E Van Buren St Ste 100,
Phoenix, AZ 85008-6996

Ph: (602) 244-2442

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.