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DR. ANWAR M VARDAG M.D.
NPI 1679963839
Pediatrics - Pediatric Critical Care Medicine in Flagstaff, AZ

Active since January 27, 2015PECOS Enrolled
1200 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 773-2112 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 17, 2026, Mar 23, 2026, Jun 3, 2025 (3 updates tracked since 2025).

About Dr. Anwar M Vardag M.d. NPPES

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

DR. ANWAR M VARDAG M.D. (NPI 1679963839) is an individual pediatric critical care medicine provider in Flagstaff, Arizona, licensed in North Carolina (2026-01221) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1679963839
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. ANWAR M VARDAGCredential: M.D.
Location Address1200 N BEAVER STFlagstaff, AZ 86001-3118
Mailing Address6156 Nw 31st AveBoca Raton, FL 33496-3374 · (561) 488-8368 · Fax (561) 241-2340
Phone(928) 773-2112
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateJanuary 27, 2015
Last NPPES UpdateApril 17, 20263 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1679963839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in NC · 2026-01221✔ Licensed in AZ · 77460✔ Licensed in FL · 0061792
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 2026-01221 (NC)
1200 N BEAVER ST, Flagstaff, AZ 86001
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Other Names 1

Professional Name (2)Dr. Anwar M Vardag M.d.

Secondary Practice Locations 2

Location 121644 SR 7Boca Raton, FL 33428 · Phone (561) 488-8368 · Fax (561) 488-8376
Location 21638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-5590 · Fax (910) 615-7298

Other Identifiers 1

Medicaid3704441000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anwar M Vardag M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072047778
PECOS Enrollment IDI20260520001493
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.

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.

DR. JEREMY NIELSEN M.D.
Anesthesiology
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
DR. SEAN DANIEL WOODS M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2112
ELIZABETH GILMORE CRNA
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
TANYA LEE MORGAN TWEED RDN
Dietitian, Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2441
THOMAS MATTHEW REEVE MD
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (210) 464-7442
MS. SUSAN POMEROY BASSETT M.S.
Audiologist
1200 N BEAVER ST, AUDIOLOGY DEPARTMENT
FLAGSTAFF, AZ 86001
Coconino County (928) 214-3728
DR. ALI I RAJA MD, MSC
Neurological Surgery
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
LEAH MARIE COFFMAN PAUL CRNA
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366

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 Anwar Vardag's NPI number?

The NPI number for Anwar Vardag is 1679963839. It was assigned to this individual provider in the NPPES registry on January 27, 2015. The provider is also known as Dr. Anwar M Vardag M.D..

Where is Anwar Vardag located?

Anwar Vardag practices at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 773-2112.

What is Anwar Vardag's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Anwar Vardag enrolled in Medicare?

Yes. Anwar Vardag is registered in the Medicare PECOS enrollment system.

What insurance does Anwar Vardag accept?

Health plans from Blue Cross Blue Shield of Arizona list Anwar Vardag 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 Anwar Vardag was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.