DR. ZACHARY GRANT LEBARON MD
NPI 1649965229
Student in an Organized Health Care Education/Training Program in Phoenix, AZ
About Dr. Zachary Grant Lebaron Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ZACHARY GRANT LEBARON MD (NPI 1649965229) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Zachary Grant Lebaron Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Zachary Lebaron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsdale, AZ 85251
- Reassigned Medicare billing, Arizona enrollment
- 178 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PHOENIX, AZ 85008
PHOENIX, AZ 85008
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 Zachary Lebaron's NPI number?
The NPI number for Zachary Lebaron is 1649965229. It was assigned to this individual provider in the NPPES registry on April 10, 2023.
Where is Zachary Lebaron located?
Zachary Lebaron practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5011.
What is Zachary Lebaron's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Zachary Lebaron enrolled in Medicare?
Yes. Zachary Lebaron is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Zachary Lebaron's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Lebaron reassigns Medicare benefits to Smi Imaging, LLC (Scottsdale, AZ). The 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 Zachary Lebaron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Zachary Lebaron was last updated on September 15, 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.
# Dr. Zachary Grant Lebaron, MD · NPI 1649965229
Student in an Organized Health Care Education/Training Program provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 10, 2023.
## Identity
- **NPI:** 1649965229 (Entity type: Individual)
- **Enumerated:** April 10, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2601 E ROOSEVELT ST, Phoenix, AZ 85008-4973
- **Phone:** (602) 344-5011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Smi Imaging, LLC (NPI 1972004489, Scottsdale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649965229) · Data from the CMS NPPES public registry.