Active NPI
Thaddeus Khachaturian, MD
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
National Provider Identifier
1699744169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 13453
- Practice address
- 15612 N 32ND St
Ste. #3
Phoenix, AZ 85032-3859 - Phone
- (602) 251-8052
- Fax
- (602) 251-8068
- NPI assigned
- Mar 16, 2006
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 13453 | AZ | Primary |
Addresses
Primary practice location
15612 N 32ND St
Ste. #3
Phoenix, AZ 85032-3859
Mailing address
6501 E Greenway Pkwy # 103-447
Scottsdale, AZ 85254-2065
Phone (480) 922-4923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13453 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1699744169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 E GREENWAY PKWY # 103-447",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852542065",
"telephone_number": "480-922-4923",
"fax_number": "480-922-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15612 N 32ND ST",
"address_2": "STE. #3",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323859",
"telephone_number": "602-251-8052",
"fax_number": "602-251-8068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHACHATURIAN",
"first_name": "THADDEUS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "13453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.