Individual provider Active NPI

Tigran Vartazarian, MD

  • Anesthesiology Physician
  • Hershey, PA
National Provider Identifier
1730113770
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME132102 Issued in FL
Practice address
500 University Drive
Department of Anesthesiology
Hershey, PA 17033
Phone
(717) 531-8434
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME132102 FL Primary
Anesthesiology Physician 207L00000X L5166 TX
Anesthesiology Physician 207L00000X MD429943 PA
Pain Medicine (Anesthesiology) Physician 207LP2900X MD429943 PA

Addresses

Primary practice location

500 University Drive
Department of Anesthesiology
Hershey, PA 17033

Mailing address

500 University Drive
Department of Anesthesiology
Hershey, PA 17033
Phone (717) 531-8434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 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
I20170816002955 FL Practitioner - Anesthesiology 6204819949 Reassigns benefits to 2 organizations
I20200102000498 CA Practitioner - Anesthesiology 6204819949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

2020 59TH St W
Bradenton, FL 34209-4604
Phone (941) 792-6611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5166TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Aug 20, 2017 Accepting new patients
First Choice Physician Partners CurrentSince Sep 21, 2019 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 28, 2021 Accepting new patients
First Choice Physician Partners CurrentSince Sep 21, 2019 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Aug 20, 2017 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Pittsburgh Anesthesia Associates, LTD. Anesthesiology Past Accepting new patients

Locations

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730113770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DRIVE",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "17033",
            "telephone_number": "717-531-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DRIVE",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "17033",
            "telephone_number": "717-531-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARTAZARIAN",
        "first_name": "TIGRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME132102",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L5166",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD429943",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD429943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.