DR. ALYSHA KEREN VARTEVAN D.O.
NPI 1962748574
Radiology - Diagnostic Radiology in Phoenix, AZ
About Dr. Alysha Keren Vartevan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALYSHA KEREN VARTEVAN D.O. (NPI 1962748574) is an individual diagnostic radiology provider in Phoenix, Arizona, licensed in Arizona (007167) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in South Miami, and is a graduate of Lake Erie College Of Osteopathic Medicine, Bradenton (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Dr. Alysha Keren Vartevan D.o. 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.
Medicare Billing Reassignments
9Medicare enrollment records show Alysha Vartevan reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scottsdale, AZ 85251
- Reassigned Medicare billing, Arizona and California enrollments
- 178 clinicians in this Medicare group
Indian Wells, CA 92210
- Reassigned Medicare billing, Arizona enrollment
Laguna Hills, CA 92653
- Reassigned Medicare billing, California and Arizona enrollments
- Also billed through NPI 1104321959 (Arizona)
- 116 clinicians in this Medicare group
Reno, NV 89512
- Reassigned Medicare billing, Arizona and California enrollments
- 19 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 215 clinicians in this Medicare group
Chicago, IL 60611
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
Tampa, FL 33613
- Reassigned Medicare billing, Arizona and California enrollments
- 36 clinicians in this Medicare group
Wexford, PA 15090
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
New York, NY 10075
- Reassigned Medicare billing, Arizona and California enrollments
- 22 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Alysha Vartevan's NPI number?
The NPI number for Alysha Vartevan is 1962748574. It was assigned to this individual provider in the NPPES registry on December 31, 2012.
Where is Alysha Vartevan located?
Alysha Vartevan practices at 4130 E Van Buren St Ste 100, Phoenix, AZ 85008. The listed phone number is (602) 244-2442.
What is Alysha Vartevan's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Alysha Vartevan enrolled in Medicare?
Yes. Alysha Vartevan 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 Alysha Vartevan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alysha Vartevan reassigns Medicare benefits to 9 organizations: Smi Imaging, LLC (Scottsdale, AZ), Halo Medical Group (Indian Wells, CA), Health Diagnostics Of California A Professional Corporation (Laguna Hills, CA), Simonmed Reno PLLC (Reno, NV), Physician Specialists Of St Lukes LLC (Chesterfield, MO) and 4 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 Alysha Vartevan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alysha Vartevan accept?
Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Alysha Vartevan 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 Alysha Vartevan was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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. Alysha Keren Vartevan, D.O. · NPI 1962748574
Diagnostic Radiology physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since December 31, 2012.
## Identity
- **NPI:** 1962748574 (Entity type: Individual)
- **Enumerated:** December 31, 2012
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 007167 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4130 E VAN BUREN ST STE 100, Phoenix, AZ 85008-6996
- **Phone:** (602) 244-2442 · **Fax:** (602) 244-2445
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Smi Imaging, LLC (NPI 1972004489, Scottsdale, AZ); Halo Medical Group (NPI 1467506451, Indian Wells, CA); Health Diagnostics Of California A Professional Corporation (NPI 1245861368, Laguna Hills, CA); Simonmed Reno PLLC (NPI 1306576145, Reno, NV); Physician Specialists Of St Lukes LLC (NPI 1235168410, Chesterfield, MO); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Bradenton, class of 2012
## Record status
- **NPPES last updated:** November 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1962748574) · Data from the CMS NPPES public registry.