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

Individual provider Diagnostic Radiology Physician · NPI 1649590969

Scott Kistler Holemon, MD is a Diagnostic Radiology in Scottsdale, Arizona. Graduated from University of Louisville School of Medicine in 2010, 16 years ago. Practices with Smi Imaging LLC, a 376-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
16
Trained at
University of Louisville School of Medicine
Licensed in
AZ
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 45245 (AZ)

Record details

NPI number1649590969
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2010
Last updated in NPPESJune 22, 2016

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Smi Imaging Llc — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations57 on file with Medicare

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