NPIMap

Individual provider Active NPI

Ara Dadivanyan, MD

  • Psychiatry Physician
  • Coatesville, PA
National Provider Identifier
1962029306
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MT221670 Issued in PA
Practice address
201 Reeceville Rd.
Brandywine Hospital
Coatesville, PA 19320
Phone
(610) 383-8000
NPI assigned
Jul 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MT221670 PA Primary

Addresses

Primary practice location

201 Reeceville Rd.
Brandywine Hospital
Coatesville, PA 19320

Mailing address

201 Reeceville Rd.
Brandywine Hospital
Coatesville, PA 19320
Phone (610) 383-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223000057 TX Practitioner - Psychiatry 2567999030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcentral FoundationGroup PAC ID 5496663627, 168 clinicians

Practice addresses (Care Compare)

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083

225 Eagle St
Quyana Club House 1115
Anchorage, AK 99501-2626
Phone (907) 729-6799

4341 Tudor Centre Dr
Anchorage, AK 99508-5904

Hospital & facility affiliations

  • Alaska Native Medical Center Hospital, Anchorage, AK, CCN 020026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT221670PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation CurrentSince Sep 14, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Oct 14, 2024 Accepting new patients
Southcentral Foundation CurrentSince Sep 14, 2025 Accepting new patients
Southcentral Foundation Current Accepting new patients

Locations

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

1001 S Knik Goose Bay Rd
Wasilla, AK 99654
Phone (907) 631-7800

Organizations & group practices 4

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1962029306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 REECEVILLE RD.",
            "address_2": "BRANDYWINE HOSPITAL",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "19320",
            "telephone_number": "610-383-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 REECEVILLE RD.",
            "address_2": "BRANDYWINE HOSPITAL",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "19320",
            "telephone_number": "610-383-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADIVANYAN",
        "first_name": "ARA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT221670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.