Alysha Keren Vartevan, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

007167 Issued in AZ

Practice address

4130 E Van Buren St Ste 100
Phoenix, AZ 85008-6996

Phone

(602) 244-2442

Fax

(602) 244-2445

NPI assigned

Dec 31, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, CA, MO3 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 3

Specialty

Diagnostic Radiology

Education

Lake Erie College of Osteopathic Medicine, Bradenton, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Howard Simon MD PLLCGroup PAC ID 7214369966, 61 clinicians

Health Diagnostics of California a Professional CorporationGroup PAC ID 4284621525, 176 clinicians

Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians

Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

75.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

80.3 of 100Reported as group

Quality

75.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

75.71

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Smi Imaging, LLC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1972004489

  CA

  Medicare reassignment Care Compare group NPD
• Health Diagnostics of California a Professional Corporation

  • Diagnostic Radiology Physician
  • Mountain View, CA
  • NPI 1104321959

  AZ

  Medicare reassignment Care Compare group NPD
• Howard Simon MD PLLC

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1659930998

  CA

  Medicare reassignment Care Compare group NPD
• Simonmed Imaging Florida LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1477830818

  AZ, CA

  Medicare reassignment Care Compare group NPD
• Foundation Radiology Group PC

  • Diagnostic Radiology Physician
  • Wexford, PA
  • NPI 1740482686

  CA

  Medicare reassignment Care Compare group
• Halo Medical Group

  • Diagnostic Radiology Physician
  • Indian Wells, CA
  • NPI 1467506451

  AZ, Family Medicine

  Medicare reassignment NPD
• Howard John Simon MD PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1932768934

  AZ, CA

  Medicare reassignment NPD
• Simonmed Reno PLLC

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1306576145

  AZ, CA

  Medicare reassignment NPD
• Physician Specialists of St Lukes LLC

  • Internal Medicine Physician
  • Chesterfield, MO
  • NPI 1235168410
  Medicare reassignment
• Akumin Imaging Texas LLC

  • Radiology Clinic/Center
  • El Paso, TX
  • NPI 1235771205
  NPD
• Health Diagnostics of California a Professional Corporation

  • Diagnostic Radiology Physician
  • Laguna Hills, CA
  • NPI 1245861368
  NPD
• Preferred Imaging of Corinth, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Corinth, TX
  • NPI 1831328392
  NPD

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1962748574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 E LAFAYETTE BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513028",
            "telephone_number": "407-340-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 E VAN BUREN ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086996",
            "telephone_number": "602-244-2442",
            "fax_number": "602-244-2445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7031 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434701",
            "country_code": "US",
            "telephone_number": "305-284-7500 x7141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARTEVAN",
        "first_name": "ALYSHA",
        "middle_name": "KEREN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS12901",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "007167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick K Varney, MA, MS, LAC, LASAC
• Rebecca Lynn Varney, DPM
• Nancy E Varsano, CDE, RD
• Varsity Physical Therapy, L.L.C.
• Taya Varteresian, D.O.
• Vijaysing A Vasadia, PA
• Kianna Yadira Vasavilbaso
• Dennis Neil Vasche, D.M.D.
• Vasco Healthcare Inc
• Vasco Healthcare Inc

• Diagnostic Radiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.