Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alysha Keren Vartevan, DO

Individual provider Diagnostic Radiology Physician · NPI 1962748574

Dr. Alysha Keren Vartevan, DO is a Diagnostic Radiology in Phoenix, Arizona. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2012, 14 years ago. Practices with Smi Imaging LLC, a 376-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Florida.

Years since qualifying
14
Trained at
Lake Erie College of Osteopathic Medicine, Bradenton
Licensed in
AZ, FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4130 E Van Buren St Ste 100
Phoenix, AZ 85008-6996
Phone: (602) 244-2442
Fax: (602) 244-2445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7031 Sw 62nd Ave, South Miami, FL 33143-4701 — (305) 284-7500

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 007167 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence OS12901 (FL)

Record details

NPI number1962748574
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedDecember 31, 2012
Last updated in NPPESNovember 6, 2020
Certification dateNovember 2, 2020
Mailing address6040 E Lafayette Blvd, Scottsdale, AZ 85251-3028

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2012 (14 years in practice)
Group practice Smi Imaging Llc — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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