Individual provider Active NPI

Armen Aivazi, MD

  • Diagnostic Radiology Physician
  • Glendale, CA
National Provider Identifier
1609284660
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A138112 Issued in CA
Practice address
3335 Deer Creek LN
Glendale, CA 91208-1166
Phone
(310) 222-2345
NPI assigned
Jul 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01083380A IN
Diagnostic Radiology Physician 2085R0202X A138112 CA Primary

Addresses

Primary practice location

3335 Deer Creek LN
Glendale, CA 91208-1166

Mailing address

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Phone (317) 806-8260

Other identifiers 3

IdentifierTypeStateIssuer
01083380AOtherINMEDICAL LICENSING BOARD OF INDIANA
300038125MedicaidIN
A138112OtherCAMEDICAL BOARD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IN2 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
I20200417003397 CA Practitioner - Diagnostic Radiology 7517221278 Reassigns benefits to 1 organization
I20200420002210 IN Practitioner - Diagnostic Radiology 7517221278 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State Un of Ny, Stony Brook School of Dental Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology of Indiana P CGroup PAC ID 0648161430, 122 clinicians
Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians

Practice addresses (Care Compare)

3335 Deer Creek LN
Glendale, CA 91208-1166
Phone (317) 806-8260

720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 663-4331

9998 Crosspoint Blvd
Suite 200
Indianapolis, IN 46256-3307
Phone (317) 579-2150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01083380AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Hancock Health Gateway Services Inc CurrentSince Feb 13, 2020 Accepting new patients
Radiology of Indiana P C Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Decatur County Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology PastSince Sep 15, 2017 Accepting new patients

Locations

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

6189 W John L Modglin Dr
Ste 103
Greenfield, IN 46140
Phone (317) 866-7301

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256

Interoperability endpoints

  • Direct secure messaging: aaivazi514243@direct.franciscanalliance.org

Organizations & group practices 6

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 6

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609284660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9998 CROSSPOINT BLVD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563307",
            "telephone_number": "317-806-8260",
            "fax_number": "317-806-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 DEER CREEK LN",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081166",
            "telephone_number": "310-222-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIVAZI",
        "first_name": "ARMEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01083380A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A138112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSING BOARD OF INDIANA",
            "identifier": "01083380A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300038125",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A138112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.