Active NPI
Serjik Nazarian, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Cottonwood, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0380
- Practice address
- 401 S Calvary Way
Ste a
Cottonwood, AZ 86326-4165 - Phone
- (928) 282-3305
- Fax
- (928) 282-6816
- NPI assigned
- Apr 28, 2006
- Last updated
- Sep 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0380 | AZ | Primary |
Addresses
Primary practice location
401 S Calvary Way
Ste a
Cottonwood, AZ 86326-4165
Mailing address
401 S Calvary Way
Ste a
Cottonwood, AZ 86326-4165
Phone (928) 282-3305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149262 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 282-3305
3124 Willow Creek Rd
Prescott, AZ 86301-6610
Phone (928) 282-3305
401 S Calvary Way
Suite a
Cottonwood, AZ 86326-4165
Phone (928) 282-3305
401 S Calvary Way a
Cottonwood, AZ 86326-4165
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 8.73 of 100
- Quality
- 15
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 98 |
| Removal of nail tissue | 178 |
| Removal or shaving of skin growth | 199 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0380 | AZ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sedona Foot & Ankle Specialists P C | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
401 S Calvary Way
Ste A
Cottonwood, AZ 86326
Phone (928) 282-3305
3124 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 371-4700
105 Roadrunner Dr
Ste 3
Sedona, AZ 86336
Phone (602) 282-3305
Organizations & group practices 1
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.
-
- Primary Podiatric Medicine Podiatrist
- Cottonwood, AZ
- NPI 1477500155
Foot & Ankle Surgery
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Scottsdale, AZ
- NPI 1427632249
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1215994561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S CALVARY WAY",
"address_2": "STE A",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264165",
"telephone_number": "928-282-3305",
"fax_number": "928-282-6816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S CALVARY WAY",
"address_2": "STE A",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264165",
"telephone_number": "928-282-3305",
"fax_number": "928-282-6816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARIAN",
"first_name": "SERJIK",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "0380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149262",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
- Rangadham Nagarakanti, MD
- Sireesha Nallu
- Sami Nabil Nasrallah, MD
- National Cardiovascular Associates, LLC (Peak Heart & Vascular)
- Karen Sue Nay, MFTI
- Nazcare - Serenity Circle Wellness Center
- Nazcare - Serenity Circle Wellness Center
- Nelson Chiropractic, Inc.
- Thomas V Neumann, MD
- Paula S Newman, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.