PATRICK G FREDENBERG MD
NPI 1710976766
Radiology - Diagnostic Radiology in Glendale, AZ

NPI Status: Active since October 20, 2005

Contact Information

5605 W EUGIE AVE STE 110
GLENDALE, AZ
ZIP 85304
Phone: (623) 847-2000

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  • Individual
  • Male
  • Years of Experience 31
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About PATRICK FREDENBERG

This page provides the complete NPI Profile along with additional information for Patrick Fredenberg, a provider established in Glendale, Arizona with a medical specialization in Radiology, focusing in diagnostic radiology and more than 31 years of experience. He graduated from University Of Arizona College Of Medicine in 1995. The healthcare provider is registered in the NPI registry with number 1710976766 assigned on October 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 26144 (AZ). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1710976766
Provider Name
PATRICK G FREDENBERG MD
Gender
Male
Entity Type
Individual
Location Address
5605 W EUGIE AVE STE 110 GLENDALE, AZ 85304
Location Phone
(623) 847-2000
Mailing Address
2323 W ROSE GARDEN LN PHOENIX, AZ 85027
Mailing Phone
(623) 931-7999
Mailing Fax
Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year
1995
Is Sole Proprietor?
No
Enumeration Date
10-20-2005
Last Update Date
03-07-2019
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Location Map

Secondary Locations

  • 2323 W Rose Garden Ln
    Phoenix, AZ 85027
    (623) 931-7999

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
26144
License State
AZ
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue AdvanceHealth Bronze - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Bronze - PimaFocus Network - HMO
  • Blue AdvanceHealth Gold - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - PimaFocus Network - HMO
  • Blue AdvanceHealth Silver - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - PimaFocus Network - HMO
  • Blue EverydayHealth Gold - MaricopaFocus Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - PimaFocus Network - HMO
  • Blue EverydayHealth Silver - MaricopaFocus Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Blue EverydayHealth Silver - PimaFocus Network - HMO
  • Blue Portfolio HSA Bronze - MaricopaFocus Network - HMO
  • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
  • Blue Portfolio HSA Bronze - PimaFocus Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
527228MEDICAID (05)AZ 

Medicare Participation & PECOS Enrollment Status

Patrick Fredenberg is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Patrick Fredenberg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6002806908

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040513000736

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

3d radiographic procedure with computerized image postprocessing

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

This service was performed 18 times for 18 patients

Blood creatinine level

A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.

This service was performed 63 times for 63 patients

Complete ultrasound scan behind abdominal cavity

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

This service was performed 19 times for 19 patients

Ct scan head or brain without contrast

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

This service was performed 40 times for 40 patients

Ct scan head or brain without contrast

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

This service was performed 56 times for 55 patients

Ct scan of abdomen and pelvis before and after contrast

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

This service was performed 11 times for 11 patients

Ct scan of abdomen and pelvis with contrast

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

This service was performed 14 times for 14 patients

Ct scan of abdomen and pelvis without contrast

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

This service was performed 12 times for 12 patients

Ct scan of blood vessels of chest with contrast

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

This service was performed 15 times for 15 patients

Ct scan of blood vessels of head with contrast

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

This service was performed 34 times for 34 patients

Ct scan of blood vessels of neck with contrast

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

This service was performed 40 times for 40 patients

Ct scan of lower spine without contrast

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

This service was performed 31 times for 31 patients

Ct scan of soft tissue of neck with contrast

A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.

This service was performed 20 times for 20 patients

Ct scan of upper spine without contrast

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

This service was performed 18 times for 18 patients

Injection, gadobutrol, 0.1 ml

Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.

This service was performed 16,777 times for 220 patients

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

This service was performed 8,445 times for 116 patients

Mri scan of bone of eye socket, face, and/or neck before and after contrast

An MRI scan of the eye socket, face, and/or neck uses magnetic fields to create detailed images of these areas. Contrast dye helps highlight specific tissues for clearer pictures. It's non-invasive, aids in detecting abnormalities, and guides treatment plans.

This service was performed 16 times for 15 patients

Mri scan of brain before and after contrast

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

This service was performed 139 times for 138 patients

Mri scan of brain without contrast

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

This service was performed 22 times for 22 patients

Mri scan of brain without contrast

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

This service was performed 99 times for 99 patients

Mri scan of lower spinal canal before and after contrast

An MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.

This service was performed 39 times for 39 patients

Mri scan of lower spinal canal without contrast

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

This service was performed 238 times for 237 patients

Mri scan of middle spinal canal before and after contrast

An MRI scan of the middle spinal canal with contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your spine, both before and after a contrast dye is injected. The dye helps to highlight certain structures, providing a clearer picture for diagnosis.

This service was performed 14 times for 14 patients

Mri scan of middle spinal canal without contrast

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

This service was performed 77 times for 77 patients

Mri scan of upper spinal canal before and after contrast

An MRI scan of the upper spinal canal before and after contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. Contrast dye is injected to enhance these images, providing clearer visuals for accurate diagnosis.

This service was performed 13 times for 13 patients

Mri scan of upper spinal canal without contrast

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

This service was performed 117 times for 117 patients

Ultrasound scan of head and neck soft tissue

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

This service was performed 52 times for 52 patients

X-ray of abdomen, 1 view

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

This service was performed 12 times for 11 patients

X-ray of abdomen, 1 view

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

This service was performed 22 times for 22 patients

X-ray of chest, 1 view

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

This service was performed 122 times for 112 patients

X-ray of chest, 2 views

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

This service was performed 13 times for 13 patients

X-ray of chest, 2 views

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

This service was performed 67 times for 66 patients

X-ray of hip, 2-3 views

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

This service was performed 17 times for 17 patients

X-ray of knee, 3 views

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

This service was performed 13 times for 11 patients

X-ray of lower and sacral spine, 2-3 views

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

This service was performed 17 times for 17 patients

X-ray of lower and sacral spine, minimum of 4 views

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

This service was performed 19 times for 19 patients

X-ray of shoulder, minimum of 2 views

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

This service was performed 14 times for 12 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 85304 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.89
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $21.47
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.24
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $17.31
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710976766
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272018712712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 7 + 1 + 2 + 7 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1710976766 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720066657 ALICIA MARIE CARTAGENA MD
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1508933847DR. DAVID LAWRENCE AUGUST MD
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1407069586DR. CAROLINE MIN-MIN CRANFORD M.D.
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1255527115 ADINA WEIS M.D.
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1255591608 DEVEN DELL COX D.O
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1033379151 BAHARAK BAGHERI MD
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1952794893 BERNADETTE ROSEANNE DIEGNAN D.O.
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1508834466DR. GORDON HAUGLAND M.D.
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1851369706DR. DANIEL R WRIGHT M.D.
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1053389635DR. ZIFA WANG M.D.
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1467460402DR. ROBERT I AIZENSTEIN MD
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1336253632DR. BRADLEY R MULLEN M.D.
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1871760348 EMILY DEER M.D.
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1972593929 JOHN LIN MD
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1023007168 DENISE J SMITH MD
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1578552618 STANLEY M WEHN MD
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1578552519 HERBERT J TOMASO MD
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1225027279 BRIAN J FROHNA MD
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1194715763 LAWRENCE E KOWAL MD
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000
1598754558 THREASA H FROUGE MD
Individual
Radiology (Diagnostic Radiology)5605 W EUGIE AVE STE 110
GLENDALE, AZ 85304
(623) 847-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710976766, enumerated in the NPI registry as an "individual" on October 20, 2005

The provider is located at 5605 W Eugie Ave Ste 110 Glendale, Az 85304 and the phone number is (623) 847-2000

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider has more than 31 years of experience. He graduated from University Of Arizona College Of Medicine in 1995.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.89 with an average copayment of $21.47 for new patient appointments. Established patients should expect a typical charge of $69.24 and an average copayment of 17.31. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: 3d radiographic procedure with computerized image postprocessing, Blood creatinine level, Complete ultrasound scan behind abdominal cavity, Ct scan head or brain without contrast, Ct scan head or brain without contrast, Ct scan of abdomen and pelvis before and after contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of blood vessels of chest with contrast, Ct scan of blood vessels of head with contrast, Ct scan of blood vessels of neck with contrast, Ct scan of lower spine without contrast, Ct scan of soft tissue of neck with contrast, Ct scan of upper spine without contrast, Injection, gadobutrol, 0.1 ml, Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, Mri scan of bone of eye socket, face, and/or neck before and after contrast, Mri scan of brain before and after contrast, Mri scan of brain without contrast, Mri scan of brain without contrast, Mri scan of lower spinal canal before and after contrast, Mri scan of lower spinal canal without contrast, Mri scan of middle spinal canal before and after contrast, Mri scan of middle spinal canal without contrast, Mri scan of upper spinal canal before and after contrast, Mri scan of upper spinal canal without contrast, Ultrasound scan of head and neck soft tissue, X-ray of abdomen, 1 view, X-ray of abdomen, 1 view, X-ray of chest, 1 view, X-ray of chest, 2 views, X-ray of chest, 2 views, X-ray of hip, 2-3 views, X-ray of knee, 3 views, X-ray of lower and sacral spine, 2-3 views, X-ray of lower and sacral spine, minimum of 4 views and X-ray of shoulder, minimum of 2 views.

This NPI record was last updated on October 20, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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