LIANA DAGDAVARYAN – Anesthesiology Physician, NPI 1457712408

LIANA DAGDAVARYAN is a healthcare provider. based in Lebanon, Oregon. specializing in ANESTHESIOLOGY. They hold a License No. 12822273-1204 (UT). The NPI Number for LIANA DAGDAVARYAN is 1457712408

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
LIANA DAGDAVARYAN
NPI
1457712408
Phone
(541) 259-0200
Address
200 Mullins Dr
Enumeration Date
17 March 2016
Last Update Date
11 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028470000
Graduation Year
2018 (8 years ago)
PAC ID
4183989882
Group Practice PAC ID
3779491071
Professional Enrollment ID
I20231218001947
Address ID
VT054011473BU111XXAVEX300

Contacts

Secure Messaging
LDAGDAVARYAN585616@DIRECT.MED.UTAH.EDU
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

867 ANESTHESIOLOGY in OR

Provider Addresses for LIANA DAGDAVARYAN

  • 200 Mullins Dr

    Lebanon, OR 973553983

    Phone: (541) 259-0200

    Type: Location

  • 111 COLCHESTER AVE

    BURLINGTON, VT 054011473

    Phone: (802) 847-2415

    Type: Location

  • College of Osteopathic Medicine of the Pacific-Northwest, 200, Mullins Drive, Lebanon, Linn County, Oregon, 97355, United States

    LEBANON, OR 973553983

    Phone:

    Type: Mailing

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: 2023-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20231218001947IAnesthesiologyVTTBD

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
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)2019$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1717$0
76942Ultrasonic guidance for needle placement1313$0
View full utilization report →

Insurance plans in this area (ZIP 97355)

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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: 3779491071View full group profile

Reviews

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Frequently asked questions

What is the registry number for LIANA DAGDAVARYAN?
The registry entry for LIANA DAGDAVARYAN shows NPI 1457712408.
Does the public listing show LIANA DAGDAVARYAN as active?
LIANA DAGDAVARYAN's NPI record reflects an active status in NPPES.
What services align with LIANA DAGDAVARYAN's listing?
LIANA DAGDAVARYAN's public classification highlights Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to LIANA DAGDAVARYAN?
LIANA DAGDAVARYAN shows a connection to Lebanon, Oregon in registry-derived data.
Who maintains LIANA DAGDAVARYAN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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