DR. SKON MICHAEL NAZARIAN – Diagnostic Radiology Physician, NPI 1205104817

DR. SKON MICHAEL NAZARIAN is a healthcare provider. based in Augusta, Georgia. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. C3404 (KY). The NPI Number for DR. SKON MICHAEL NAZARIAN is 1205104817

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SKON MICHAEL NAZARIAN
NPI
1205104817
Phone
(717) 851-4408
Address
1120 15TH ST
Enumeration Date
9 December 2011
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8655847376403
Graduation Year
2011 (15 years ago)
PAC ID
6608165998
Group Practice PAC ID
0547323420
Professional Enrollment ID
I20200708000770
Address ID
TX770053616HO6406XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Digital endpointsOther names

2,576 DIAGNOSTIC RADIOLOGY in PA

Provider Addresses for DR. SKON MICHAEL NAZARIAN

  • 1120 15TH ST

    AUGUSTA, GA 309120004

    Phone: (717) 851-4408

    Type: Mailing

  • 1001 S GEORGE ST

    YORK, PA 174033676

    Phone: (717) 851-4408

    Type: Location

  • 1221 S Broadway

    Lexington, KY 405042701

    Phone: (859) 258-4181

    Fax: (859) 258-4064

    Type: Location

  • 2190 NORTH LOOP W STE 250

    HOUSTON, TX 770188016

    Phone: (713) 441-7558

    Fax: (713) 363-9706

    Type: Mailing

  • 6565 FANNIN ST

    HOUSTON, TX 770302703

    Phone: (713) 441-7558

    Fax: (713) 363-9706

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190108000357IDiagnostic RadiologyFLTBD
I20200708000770IDiagnostic RadiologyTXTBD
I20251111002935IDiagnostic RadiologyKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast981945$0
72148Mri scan of lower spinal canal without contrast361361$0
72125Ct scan of upper spine without contrast237237$0
70496Ct scan of blood vessels of head with contrast229229$0
70551Mri scan of brain without contrast229228$0
View full utilization report →

Insurance plans in this area (ZIP 30912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547323420View full group profile
NameSpecialtyState
Diagnostic RadiologyKY
Diagnostic RadiologyGA
Diagnostic RadiologyKY
Diagnostic RadiologyKY
Diagnostic RadiologyKY
Diagnostic RadiologyKY
Diagnostic RadiologyKY
Diagnostic RadiologyKY
Diagnostic RadiologyKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SKON MICHAEL NAZARIAN?
NPI 1205104817 is assigned to DR. SKON MICHAEL NAZARIAN under the national enumeration system.
Is DR. SKON MICHAEL NAZARIAN active in the national directory?
DR. SKON MICHAEL NAZARIAN's public NPI profile is in an active state.
Can you summarize DR. SKON MICHAEL NAZARIAN's specialty in plain language?
Clinically, the directory lists DR. SKON MICHAEL NAZARIAN with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. SKON MICHAEL NAZARIAN's primary listing?
We display Augusta, Georgia because that is what the record indicates for DR. SKON MICHAEL NAZARIAN.
How can I contact DR. SKON MICHAEL NAZARIAN?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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