Vahe Melkonyan, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A97645 Issued in CA

Practice address

4910 Van Nuys Blvd
Ste 206
Sherman Oaks, CA 91403-1766

Phone

(818) 855-2230

Fax

(818) 616-9065

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Vascular SurgeryAlso: General Surgery

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Practica IncGroup PAC ID 5890953616, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Practica Inc

  • Clinic/Center
  • Pasadena, CA
  • NPI 1952672032
  Medicare reassignment Care Compare group NPD Authorized official
• Vena East, Inc.

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1821761503
  Medicare reassignment NPD
• USA Vein Clinics of Boston LLC

  • Vascular Surgery Physician
  • West Roxbury, MA
  • NPI 1932332707
  NPD (past)
• USA Vein Clinics P.C

  • Vascular Surgery Physician
  • Lincoln, MA
  • NPI 1245409119
  NPD (past)
• Vein Clinics of Boston LLC

  • Vascular Surgery Physician
  • Boston, MA
  • NPI 1891055158
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1073664934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "STE 206",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031766",
            "telephone_number": "626-318-2484",
            "fax_number": "949-263-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "STE 206",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031766",
            "telephone_number": "818-855-2230",
            "fax_number": "818-616-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELKONYAN",
        "first_name": "VAHE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A97645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A976450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maliha Mehrzai, RBT
• Belkis Hernandez Mejia
• Takouhi Tina Mekharian, NP
• Jonathan Melendez
• Michelle Melendres
• Kristina Mellibosky
• Yvette D Melvin, M.A.
• Memorial Hospice Care, Inc. (Dynamic Hospice Care)
• Karla Isabel Mena
• Menashe Ehrenburg, D.O., Apc

• Specialist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.