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DR. ALYSHA KEREN VARTEVAN D.O.
NPI 1962748574
Radiology - Diagnostic Radiology in Phoenix, AZ

Active since December 31, 2012PECOS EnrolledAccepts Medicare Assignment
75.81/100
CMS Quality Rating
4130 E VAN BUREN ST STE 100, PHOENIX, AZ 85008(602) 244-2442(602) 244-2445 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1962748574
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. ALYSHA KEREN VARTEVANCredential: D.O.
Location Address4130 E VAN BUREN ST STE 100Phoenix, AZ 85008-6996
Mailing Address6040 E Lafayette BlvdScottsdale, AZ 85251-3028 · (407) 340-0815
Phone(602) 244-2442
Fax(602) 244-2445
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, BradentonGraduated 2012
Enumeration DateDecember 31, 2012
Last NPPES UpdateNovember 6, 2020
NPPES CertifiedNovember 2, 2020
✔ NPI 1962748574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in AZ · 007167✔ Licensed in FL · OS12901
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4130 E VAN BUREN ST STE 100, Phoenix, AZ 85008
Open in Google Maps ↗

Secondary Practice Location 1

Location 17031 SW 62nd AveSouth Miami, FL 33143-4701 · Phone (305) 284-7500 ext. 7141

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Community Health Choice 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

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.

PECOS PAC ID4789909938
PECOS Enrollment IDI20201118002069, I20230613001000
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 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.

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.

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.

75.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
Improvement Activities40

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.

What insurance does Alysha Vartevan accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Community Health Choice and Molina Healthcare 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.