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ANDREW C DUARTE MD
NPI 1609003581
Radiology - Diagnostic Radiology in Phoenix, AZ

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment
500 W THOMAS RD STE 100, PHOENIX, AZ 85013(602) 406-1115(602) 406-2340 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrew C Duarte Md NPPES

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

ANDREW C DUARTE MD (NPI 1609003581) is an individual diagnostic radiology provider in Phoenix, Arizona, licensed in Arizona (44930) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Arizona College Of Medicine (2009).

NPPES Registry Identity

NPI1609003581
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameANDREW C DUARTECredential: MD
Location Address500 W THOMAS RD STE 100Phoenix, AZ 85013-4255
Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358
Phone(602) 406-1115
Fax(602) 406-2340
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2009
Enumeration DateJune 17, 2009
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1609003581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in AZ · 44930
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 44930 (AZ)
500 W THOMAS RD STE 100, Phoenix, AZ 85013
Open in Google Maps ↗

Secondary Practice Locations 4

Location 14975 N Dysart Rd Unit 100Litchfield Park, AZ 85340-3082 · Phone (602) 406-8852 · Fax (623) 935-9495
Location 27330 N 99th Ave Ste 200Glendale, AZ 85307-3018 · Phone (602) 406-0033 · Fax (602) 406-0035
Location 3625 N 6th StPhoenix, AZ 85004-2155 · Phone (602) 406-8222 · Fax (602) 406-7811
Location 417040 N 51st Ave Ste 100Glendale, AZ 85308-1496 · Phone (602) 406-1164 · Fax (623) 935-9495

Other Identifiers 1

Other44930AZ · State Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew C Duarte 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 ID2961628433
PECOS Enrollment IDI20150805006335
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Andrew Duarte reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sjhmc Physician Services
Same address
Multi-Specialty
350 W THOMAS RD
Phoenix, AZ 85013
  • Reassigned Medicare billing, Arizona enrollment
  • 773 clinicians in this Medicare group
NPI 1326098005 (602) 406-3729
Banner - University Physician Specialists LLC
0.5 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 553 clinicians in this Medicare group
NPI 1417312760 (602) 747-4000
Banner Cancer Center Specialists LLC
0.5 mi
Oncology
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 470 clinicians in this Medicare group
NPI 1518253152 (602) 747-4000
District Medical Group, Inc
3.5 mi
Pulmonary Disease
2525 E ROOSEVELT ST, MED CLINIC - PULMONARY
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1700119815 (602) 344-1095
Smi Imaging, LLC
8.5 mi
Diagnostic Radiology
6740 E CAMELBACK RD STE 100
Scottsdale, AZ 85251
  • Reassigned Medicare billing, Arizona enrollment
  • 178 clinicians in this Medicare group
NPI 1972004489 (602) 651-1945
Banner Imaging Services LLC
15 mi
Diagnostic Radiology
10474 W THUNDERBIRD BLVD STE 100
Sun City, AZ 85351
  • Reassigned Medicare billing, Arizona enrollment
  • 211 clinicians in this Medicare group
NPI 1770139958 (623) 832-5316
Banner Hospital Based Physicians Arizona LLC
22 mi
Multi-Specialty
1900 N HIGLEY RD
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1124374822 (480) 543-2034

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
21 services21 patients
Review by radiologist of ct guidance for needle placement 77012
This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 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 18

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

DEVON O'CONNELL NP
Nurse Practitioner (Psychiatric/Mental Health)
500 W THOMAS RD STE 100
PHOENIX, AZ 85013
Maricopa County (602) 406-1510
JULIA LYNN MELVIN FNP-C
Family Medicine
500 W THOMAS RD STE 100
PHOENIX, AZ 85013
Maricopa County (602) 406-1510
MARTIN ERREA MD
Radiology (Vascular & Interventional Radiology)
500 W THOMAS RD STE 100
PHOENIX, AZ 85013
Maricopa County (602) 406-1115
AFSHEEN K SHERWANI M.D.
Radiology (Vascular & Interventional Radiology)
500 W THOMAS RD STE 100
PHOENIX, AZ 85013
Maricopa County (602) 406-1115
LAYTH AL-JASHAAMI M.D
Internal Medicine (Gastroenterology)
500 W THOMAS RD STE 100
PHOENIX, AZ 85013
Maricopa County (602) 406-1510
LESLEY HOWARD PA-C
Physician Assistant (Surgical)
500 W THOMAS RD STE 100
PHOENIX, AZ 85013
Maricopa County (602) 406-1115
DALBIR SINGH SANDHU M.D.
Internal Medicine (Gastroenterology)
500 W THOMAS RD STE 100
PHOENIX, AZ 85013
Maricopa County (602) 406-1510
MS. BRENDA LEA BAKER NP-C
Nurse Practitioner (Gerontology)
500 W THOMAS RD STE 100
PHOENIX, AZ 85013
Maricopa County (602) 406-1510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Duarte's NPI number?

The NPI number for Andrew Duarte is 1609003581. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Andrew Duarte located?

Andrew Duarte practices at 500 W Thomas Rd Ste 100, Phoenix, AZ 85013. The listed phone number is (602) 406-1115.

What is Andrew Duarte's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Andrew Duarte enrolled in Medicare?

Yes. Andrew Duarte is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrew Duarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Duarte reassigns Medicare benefits to 7 organizations: Sjhmc Physician Services (Phoenix, AZ), Banner - University Physician Specialists LLC (Phoenix, AZ), Banner Cancer Center Specialists LLC (Phoenix, AZ), District Medical Group, Inc (Phoenix, AZ), Smi Imaging, LLC (Scottsdale, AZ) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Duarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Duarte accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Andrew Duarte as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Duarte was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.