VISHTASB BROUMAND DMD MD
NPI 1467485599
Dentist - Oral and Maxillofacial Surgery in Scottsdale, AZ

Q: What is Vishtasb Broumand's NPI number?

The NPI number for Vishtasb Broumand is 1467485599. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Q: What is Vishtasb Broumand's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Vishtasb Broumand was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment

13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, Nov 12, 2024, Oct 2, 2024 (3 updates tracked since 2024).

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About Vishtasb Broumand Dmd Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISHTASB BROUMAND DMD MD (NPI 1467485599) is an individual oral and maxillofacial surgery provider in Scottsdale, Arizona, licensed in Arizona (D008845) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of University Of Florida College Of Dentistry (1997).

NPPES Registry Identity

NPI1467485599

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameVISHTASB BROUMANDCredential: DMD MD

Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5452

Mailing Address20950 N Tatum Blvd Ste 200Phoenix, AZ 85050-4269 · (480) 284-8087 · Fax (480) 659-6098

Phone(480) 301-8000

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of DentistryGraduated 1997

Enumeration DateJuly 9, 2006

Last NPPES UpdateJune 18, 20253 updates tracked since enumeration

NPPES CertifiedJune 18, 2025

✔ NPI 1467485599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in AZ · D008845✔ Licensed in FL · DN14533

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License D008845 (AZ)

13400 E SHEA BLVD, Scottsdale, AZ 85259

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Secondary Practice Location 1

Location 120950 N Tatum Blvd Ste 200Phoenix, AZ 85050-4269 · Phone (480) 284-8087 · Fax (480) 659-6098

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vishtasb Broumand Dmd Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224119581

PECOS Enrollment IDI20250908002505

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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