Individual provider Active NPI

Ashkaun Shaterian

  • Plastic and Reconstructive Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1679917025
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
60516 Issued in AZ
Practice address
10240 W Indian School Rd
Phoenix, AZ 85037-5904
Phone
(623) 243-9077
NPI assigned
Apr 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 60516 AZ
Plastic and Reconstructive Surgery Physician 2086S0122X 60516 AZ Primary

Addresses

Primary practice location

10240 W Indian School Rd
Phoenix, AZ 85037-5904

Mailing address

10240 W Indian School Rd
Phoenix, AZ 85037-5904
Phone (623) 251-6431

Other practice location 1

5901 E 7th St
Long Beach, CA 90822-5201
Phone (562) 826-8000

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
I20200723000865 AZ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 1456667575 Reassigns benefits to 4 organizations
I20220714002777 TX Practitioner - Plastic and Reconstructive Surgery 1456667575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Un of California, Irvine, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Hospital Based Physicians LLCGroup PAC ID 1052614294, 343 clinicians
Arizona Center for Hand Surgery PCGroup PAC ID 4880585603, 32 clinicians

Practice addresses (Care Compare)

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

370 E Virginia Ave
Suite 100
Phoenix, AZ 85004-1254
Phone (602) 258-4788

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision30
Removal of tissue12
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60516AZMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation CurrentSince Jun 15, 2022 Accepting new patients
Arizona Center for Hand Surgery PC Surgery of the Hand CurrentSince Jan 1, 2022 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 1, 2025 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jun 17, 2022 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 1, 2025 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jun 17, 2022 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jun 15, 2022 Accepting new patients
Arizona Center for Hand Surgery PC Surgery of the Hand CurrentSince Jan 1, 2022 Accepting new patients
Regency Ambulatory Surgery Center One, LLC CurrentSince Apr 30, 2021 Accepting new patients
Banner - University Physician Specialists LLC Current Accepting new patients
Regency Skin Institute PLLC Past Accepting new patients
Arizona Center for Hand Surgery PC Surgery of the Hand Past Accepting new patients

Locations

1520 S Dobson Rd
Ste 210
Mesa, AZ 85202
Phone (480) 898-8593

2111 W University Dr
Mesa, AZ 85201
Phone (480) 206-6240

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

10240 W Indian School Rd
Ste 115
Phoenix, AZ 85037
Phone (623) 243-9077

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

370 E Virginia Ave
Ste 100
Phoenix, AZ 85004
Phone (602) 200-8988

3329 E Bell Rd
Ste A5
Phoenix, AZ 85032

370 E Virginia Ave
Phoenix, AZ 85004
Phone (480) 206-6240

15830 N 35th Ave
Ste 1
Phoenix, AZ 85053
Phone (602) 298-1188

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

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

9220 E Mountain View Rd
Ste 200
Scottsdale, AZ 85258
Phone (480) 451-6756

9220 E Mountain View Rd
Ste 102
Scottsdale, AZ 85258
Phone (480) 661-8348

14725 W Mountain View Blvd
Ste 125
Surprise, AZ 85374
Phone (602) 243-9077

14725 W Mountain View Blvd
Surprise, AZ 85374
Phone (623) 243-9077

Organizations & group practices 12

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 8

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": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1679917025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375904",
            "telephone_number": "623-251-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375904",
            "telephone_number": "623-243-9077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908225201",
            "country_code": "US",
            "telephone_number": "562-826-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHATERIAN",
        "first_name": "ASHKAUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-27",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "AZ",
            "license": "60516",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "60516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.