Individual provider Active NPI

Varuzhan Movsesyan, D.O

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1326196809
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4681 Issued in AZ
Practice address
17100 N 67TH Ave
Suite 300
Glendale, AZ 85308-3605
Phone
(626) 397-5485
Fax
(623) 878-4877
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A9353 CA
Internal Medicine Physician 207R00000X 4681 AZ Primary

Addresses

Primary practice location

17100 N 67TH Ave
Suite 300
Glendale, AZ 85308-3605

Mailing address

17100 N 67TH Ave
Suite 300
Glendale, AZ 85308-3605
Phone (623) 878-8999

Other identifiers 1

IdentifierTypeStateIssuer
235211MedicaidAZ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000461 AZ Practitioner - Internal Medicine 0244335362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

14541 W Indian School Rd
Suite 600
Goodyear, AZ 85395-9243
Phone (888) 698-6727

5421 W Thunderbird Rd
Glendale, AZ 85306-4751
Phone (602) 755-0800

Hospital & facility affiliations

  • True Promise Home Health Inc Home health agency, Scottsdale, AZ, CCN 037814
  • American Premier Home Health Care Home health agency, Phoenix, AZ, CCN 037232
  • Valley of the Sun Home Health Care, LLC Home health agency, Glendale, AZ, CCN 037405
  • Bliss Hospice LLC Hospice, Phoenix, AZ, CCN 031731
  • American Premier Hospice, LLC Hospice, Phoenix, AZ, CCN 031665

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Medical Inc. Internal Medicine CurrentSince Sep 1, 2007 Accepting new patients
Valleyside Mobile Medicine Inc CurrentSince Jun 18, 2026 Accepting new patients
Link Medical Inc Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Summit Medical Group Arizona LLC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Link Medical Inc CurrentSince Mar 1, 2023 Accepting new patients
Arrowhead Sleep Center Inc. Past Accepting new patients
Dvma, LLC Internal Medicine Past Accepting new patients
Youth Renewal Sciences LLC PastSince Jun 18, 2026 Accepting new patients

Locations

1555 Ramar Rd
Bullhead City, AZ 86442
Phone (702) 960-6930

17100 N 67th Ave
Ste 300
Glendale, AZ 85308
Phone (623) 878-8999

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5421 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 547-9615

6710 N 47th Ave
Ste 8
Glendale, AZ 85301
Phone (623) 842-3077

6710 N 47th Ave
Ste 4
Glendale, AZ 85301

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

3620 W Bethany Home Rd
Phoenix, AZ 85019
Phone (602) 841-8273

9200 E Raintree Dr
Ste 100
Scottsdale, AZ 85260
Phone (480) 657-0003

Interoperability endpoints

  • Direct secure messaging: varuzhan.movsesyan.1@19654.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
American Premier HospicePhoenix, AZ, CCN 031665 Hospice W-2 Managing Employee Jun 1, 2023
Billet Hospice Inc - PeoriaPeoria, AZ, CCN 031634 Hospice Contracted Managing Employee May 1, 2020
Bliss Hospice LLCPhoenix, AZ, CCN 031731 Hospice Contracted Managing Employee Jun 1, 2026
Valleyside Hospice IncScottsdale, AZ, CCN 001516 Hospice W-2 Managing Employee Jul 1, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1326196809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE",
            "address_2": "SUITE 300",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083605",
            "telephone_number": "623-878-8999",
            "fax_number": "623-878-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE",
            "address_2": "SUITE 300",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083605",
            "telephone_number": "626-397-5485",
            "fax_number": "623-878-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVSESYAN",
        "first_name": "VARUZHAN",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9353",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235211",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.