Individual provider Active NPI

Stephen Andrew Vartanian, MD

  • Vascular & Interventional Radiology Physician
  • Farmington Hills, MI
National Provider Identifier
1790990919
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
4301086202 Issued in MI
Practice address
32255 Northwestern Hwy Ste 135
Farmington Hills, MI 48334-1575
Phone
(947) 228-5500
Fax
(947) 228-5501
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 4301086202 MI Primary
Vascular & Interventional Radiology Physician 2085R0204X 66715 MN
Diagnostic Radiology Physician 2085R0202X 4301086202 MI

Addresses

Primary practice location

32255 Northwestern Hwy Ste 135
Farmington Hills, MI 48334-1575

Mailing address

32255 Northwestern Hwy Ste 135
Farmington Hills, MI 48334-1575
Phone (947) 228-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA2 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
I20110616000424 MI Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8022296219 Reassigns benefits to 5 organizations
I20220119000854 GA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8022296219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Wayne State University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

32255 Northwestern Hwy 135
Mi Healthcare Prof. PC
Farmington Hills, MI 48334-1575
Phone (947) 228-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66715MNMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc Current Accepting new patients
MMG 1 PC Diagnostic Radiology CurrentSince Sep 15, 2022 Accepting new patients
MMG 1 PC CurrentSince Sep 15, 2022 Accepting new patients
McLaren Bay Region CurrentSince Nov 1, 2023 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jul 24, 2023 Accepting new patients
McLaren Bay Region CurrentSince Nov 1, 2023 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Dec 27, 2021 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Sep 15, 2022 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Sep 15, 2022 Accepting new patients
Omg 1 PC Diagnostic Radiology CurrentSince Sep 15, 2022 Accepting new patients
Oakland Medical Group PC Diagnostic Radiology CurrentSince Sep 15, 2022 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jul 24, 2023 Accepting new patients
Beaumont Special Radiological Procedures Diagnostic Radiology Past Accepting new patients
Advanced Radiology Services PC Diagnostic Radiology Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

32255 Northwestern Hwy
Ste 100
Farmington Hills, MI 48334
Phone (248) 945-0000

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

32255 Northwestern Hwy
Ste 135
Farmington Hills, MI 48334
Phone (248) 885-4163

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27483 Dequindre Rd
Ste 101
Madison Hts, MI 48071
Phone (248) 544-9050

27483 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 544-9050

850 W Baraga Ave
Ste 20
Marquette, MI 49855
Phone (906) 449-3440

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

3601 W 13 Mile Rd
Royal Oak, MI 48073

28625 Northwestern Hwy
Ste 213
Southfield, MI 48034
Phone (248) 354-9666

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: stephen.vartanian.1@8233.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1790990919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 135",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341575",
            "telephone_number": "947-228-5500",
            "fax_number": "947-228-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 135",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341575",
            "telephone_number": "947-228-5500",
            "fax_number": "947-228-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARTANIAN",
        "first_name": "STEPHEN",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301086202",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "66715",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301086202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.