Active NPI
Armen Aivazi, MD
- Diagnostic Radiology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A138112
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01083380A | Other | IN | MEDICAL LICENSING BOARD OF INDIANA |
| 300038125 | Medicaid | IN | |
| A138112 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Franciscan Health Indianapolis
- Community Hospital East
- Community Hospital North
- Community Hospital of Anderson and Madison County
- Community Hospital South, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01083380A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Hancock Health Gateway Services Inc | Current | Accepting new patients | |
| Radiology of Indiana P C | Diagnostic Radiology | Current | Accepting new patients |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Diagnostic Radiology | Past | 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
- 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.
-
- Critical Access Hospital
- Greensburg, IN
- NPI 1952300477
-
- Rural Health Clinic/Center
- Greensburg, IN
- NPI 1437900800
-
- General Practice Physician
- Greensburg, IN
- NPI 1619193505
-
- Physiological Laboratory
- Greenfield, IN
- NPI 1134696099
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.