NPIMap

Individual provider Active NPI

Levon Khojayan, MD

  • Vascular Surgery Physician
  • Petoskey, MI
National Provider Identifier
1114217197
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35.130867 Issued in OH
Practice address
521 Monroe St
Petoskey, MI 49770-2266
Phone
(231) 487-1900
Fax
(231) 348-0984
NPI assigned
Apr 12, 2011
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35.130867 OH Primary

Addresses

Primary practice location

521 Monroe St
Petoskey, MI 49770-2266

Mailing address

521 Monroe St
Petoskey, MI 49770-2266
Phone (231) 487-1900

Other practice location 1

601 John St Ste M-460
Kalamazoo, MI 49007-5355
Phone (269) 341-7333

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lkhojayan144084@direct-prd.metrohealth.org
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180725000643 OH Practitioner - Vascular Surgery 2365686698 Reassigns benefits to 1 organization
I20220523001167 MI Practitioner - Vascular Surgery 2365686698 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Petoskey Surgeons, P.C.Group PAC ID 4880616028, 9 clinicians

Practice addresses (Care Compare)

521 Monroe St
Petoskey, MI 49770-2266
Phone (231) 487-1900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal66
Leg revascularization (restoring blood flow)35
Removal of tissue23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.130867OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jul 6, 2018 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jun 1, 2022 Accepting new patients
Bronson Methodist Hospital CurrentSince Jun 1, 2022 Accepting new patients
Petoskey Surgeons, P.C. Vascular Surgery CurrentSince Sep 1, 2022 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jun 1, 2022 Accepting new patients
The Metrohealth System CurrentSince Jul 6, 2018 Accepting new patients
The Metrohealth System Past Accepting new patients
McLaren Northern Michigan Past Accepting new patients

Locations

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

363 Fremont St
Ste 101
Battle Creek, MI 49017
Phone (269) 245-8350

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste M-460
Kalamazoo, MI 49007
Phone (269) 341-7333

521 Monroe St
Petoskey, MI 49770
Phone (231) 348-1514

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 8

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1114217197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MONROE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702266",
            "telephone_number": "231-487-1900",
            "fax_number": "231-348-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MONROE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702266",
            "telephone_number": "231-487-1900",
            "fax_number": "231-348-0984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 John St Ste M-460",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075355",
            "country_code": "US",
            "telephone_number": "269-341-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOJAYAN",
        "first_name": "LEVON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.130867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkhojayan144084@direct-prd.metrohealth.org",
            "affiliation": "N",
            "address_1": "2500 Metrohealth Dr",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441091900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.