Individual provider Active NPI

Poya Hedayati, M.D.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1063523587
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34236 Issued in AZ
Practice address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone
(602) 406-3430
Fax
(602) 406-4058
NPI assigned
Aug 31, 2006
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34236 AZ Primary

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Mailing address

3200 N Central Ave
Suite 900
Phoenix, AZ 85012-2425
Phone (602) 406-3729

Other practice location 1

520 Rose Ln
Wickenburg, AZ 85390-1447
Phone (928) 668-1803

Other identifiers 1

IdentifierTypeStateIssuer
970617MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051025000294 AZ Practitioner - Diagnostic Radiology 4789601238 Reassigns benefits to 9 organizations
I20251003000243 TX Practitioner - Diagnostic Radiology 4789601238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Imaging Services LLCGroup PAC ID 1850724386, 122 clinicians
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

1828 E Florence Blvd
Suite 118 and 128
Casa Grande, AZ 85122-4783
Phone (480) 610-7400

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Phone (602) 914-1520

6740 E Camelback Rd
100 Simonmed Imaging Fashion Square
Scottsdale, AZ 85251-2096
Phone (480) 478-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jul 17, 2020 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jan 20, 2020 Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Nov 1, 2024 Accepting new patients
North Wheeler County Hospital District CurrentSince Sep 18, 2025 Accepting new patients
District Medical Group, Inc Current Accepting new patients
North Wheeler County Hospital District CurrentSince Sep 18, 2025 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Nov 1, 2024 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 14, 2020 Accepting new patients
Cigna Health Care of Arizona Inc CurrentSince Jul 17, 2020 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 1, 2024 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Banner Imaging Services LLC CurrentSince Apr 24, 2025 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 1, 2024 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
Community Hospital Association, Inc. Current Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince Apr 24, 2025 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Nov 7, 2018 Accepting new patients
Banner Imaging Associates PLC Diagnostic Radiology Past Accepting new patients
Simonmed Imaging, Incorporated Diagnostic Radiology Past Accepting new patients
North Wheeler County Hospital District Past Accepting new patients

Locations (25 of 58)

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5410 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 530-6189

5410 W Thunderbird Rd
Ste 221
Glendale, AZ 85306
Phone (602) 682-5000

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

13090 N 94th Dr
Ste 103
Peoria, AZ 85381
Phone (623) 234-8770

1110 E Missouri Ave
Ste 410
Phoenix, AZ 85014
Phone (602) 274-4674

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

4200 E Camelback Rd
Ste 105
Phoenix, AZ 85018

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: phedayati5187@direct.valleywisehealth.org

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1063523587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N CENTRAL AVE",
            "address_2": "SUITE 900",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122425",
            "telephone_number": "602-406-3729",
            "fax_number": "602-798-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-3430",
            "fax_number": "602-406-4058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Rose Ln",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853901447",
            "country_code": "US",
            "telephone_number": "928-668-1803",
            "fax_number": "928-684-2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDAYATI",
        "first_name": "POYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "34236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "970617",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.