DESMYN PEDERSEN DO
NPI 1780146696
Anesthesiology in Flagstaff, AZ
NPI Status: Active since April 01, 2019
Contact Information
1200 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 779-3366
- Individual
- Female
- Anesthesiology
- PECOS Enrolled
About DESMYN PEDERSEN
This page provides the complete NPI Profile along with additional information for Desmyn Pedersen, an anesthesiologist established in Flagstaff, Arizona with a medical specialization in Anesthesiology. The healthcare provider is registered in the NPI registry with number 1780146696 assigned on April 2019. The practitioner's primary taxonomy code is 207L00000X with license number 011671 (AZ). The provider is registered as an individual and her NPI record was last updated July 2025.
- NPI
- 1780146696
- Provider Name
- DESMYN PEDERSEN DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1200 N BEAVER ST FLAGSTAFF, AZ 86001
- Location Phone
- (928) 779-3366
- Mailing Address
- 1200 N BEAVER ST ATTN: PAYER CREDENTIALING FLAGSTAFF, AZ 86001
- Mailing Phone
- (928) 213-6235
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-01-2019
- Last Update Date
- 07-01-2025
- Code Navigator
An anesthesiologist like Desmyn Pedersen manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.
Location Map
Secondary Locations
- 2880 N Tenaya Way Fl 2
Las Vegas, NV 89128
(702) 962-9563
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
Anesthesiology
- Taxonomy Code
- 207L00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 011671
- License State
- AZ
- Taxonomy Description
- An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Medicare Participation & PECOS Enrollment Status
Desmyn Pedersen 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
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
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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. | |||||||||
| 1 | 7 | 8 | 0 | 1 | 4 | 6 | 6 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 2 | 4 | 12 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 2 + 4 + 1 + 2 + 6 + 1 + 8 + 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 = 6 | 6 | ||||||||
The NPI number 1780146696 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 |
|---|---|---|---|
| 1043278799 | DR. THOMAS J GAUGHAN MD Individual | Psychiatry & Neurology (Psychiatry) | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 213-6411 |
| 1447290226 | DR. THOMAS E VORPAHL M.D.,P.C. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 526-1112 |
| 1730124009 | MR. KURT R DRAWZ RPH Individual | Pharmacist | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 773-2118 |
| 1104852045 | DR. DARLENE M LEE M.D.,P.C. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 526-1112 |
| 1992892624 | WILLIAM J AUSTIN MD Individual | Pediatrics | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 773-3956 |
| 1891875746 | CARRIE BURNS M.D. Individual | Emergency Medicine | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 380-0476 |
| 1588741623 | MARK E. DONNELLY MD PC Organization | Surgery | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 773-2200 |
| 1053480095 | DR. MICHAEL RAY Individual | Emergency Medicine | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 380-0476 |
| 1245305937 | MS. SHEILA WYNNE SCHILL PT Individual | Physical Therapist | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 773-2054 |
| 1154472322 | MRS. KATHRYN SUMPTER BARRETT OTRL Individual | Occupational Therapist | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 773-2054 |
| 1902957699 | MR. GLENN ALLAN CONDON PT Individual | Physical Therapist (Pediatrics) | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 773-2054 |
| 1861544744 | SUSANN ANN CLINTON FNP Individual | Nurse Practitioner (Family) | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 773-2954 |
| 1295881274 | MARK PETERSON D.O. Individual | Emergency Medicine | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 380-0476 |
| 1437205424 | DONN JOHNSON M.D. Individual | Emergency Medicine | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 380-0476 |
| 1477609469 | SARAH HSIA M.D. Individual | Emergency Medicine | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 380-0476 |
| 1689720658 | MICHAEL ROBIN RICKARDS M.D. Individual | Emergency Medicine | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 380-0476 |
| 1902952799 | DANIEL LEONARD SHAW M.D. Individual | Emergency Medicine | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 380-0476 |
| 1407993793 | MRS. EMILIE CARBONEL SAFTOIU MOT, OTRL Individual | Occupational Therapist (Pediatrics) | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 773-2054 |
| 1003952565 | MS. SUSAN POMEROY BASSETT M.S. Individual | Audiologist | 1200 N BEAVER ST AUDIOLOGY DEPARTMENT FLAGSTAFF, AZ 86001 (928) 214-3728 |
| 1639201783 | KIMBERLY KAYE VEST PT Individual | Physical Therapist | 1200 N BEAVER ST FLAGSTAFF, AZ 86001 (928) 773-2054 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780146696, enumerated in the NPI registry as an "individual" on April 01, 2019
The provider is located at 1200 N Beaver St Flagstaff, Az 86001 and the phone number is (928) 779-3366
The provider's speciality is Anesthesiology with taxonomy code 207L00000X
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.
This NPI record was last updated on April 01, 2019. 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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