Individual provider Active NPI

Tigran Kostanyan, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1164800827
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
19705 Issued in NV
Practice address
2110 E Flamingo Rd Ste 210
Las Vegas, NV 89119-5193
Phone
(702) 932-4257
Fax
(702) 734-0419
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 19705 NV Primary
Ophthalmology Physician 207W00000X MD467621 PA

Addresses

Primary practice location

2110 E Flamingo Rd Ste 210
Las Vegas, NV 89119-5193

Mailing address

2110 E Flamingo Rd Ste 210
Las Vegas, NV 89119-5193
Phone (702) 932-4257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190711000047 PA Practitioner - Ophthalmology 3274868419 Reassigns benefits to 1 organization
I20200617001233 NV Practitioner - Ophthalmology 3274868419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of NevadaGroup PAC ID 6002894680, 8 clinicians

Practice addresses (Care Compare)

2110 E Flamingo Rd
Suite 210
Las Vegas, NV 89119-5193
Phone (702) 733-2020

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
92.96
Promoting interoperability
97
Improvement activities
40
Cost
68.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery461

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19705NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Nevada Ophthalmology CurrentSince Jun 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2019 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2019 Accepting new patients
Box Canyon Surgery Center LLC Past Accepting new patients

Locations

10424 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 733-2020

2555 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 316-4400

2110 E Flamingo Rd
Ste 210
Las Vegas, NV 89119
Phone (702) 733-2020

203 Lothrop St
Fl 7
Pittsburgh, PA 15213
Phone (412) 647-2200

203 Lothrop St
Ste 8212
Pittsburgh, PA 15213
Phone (412) 647-2256

Interoperability endpoints

  • Direct secure messaging: tigran.kostanyan.p28@direct.avp.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1164800827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195193",
            "telephone_number": "702-932-4257",
            "fax_number": "702-734-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195193",
            "telephone_number": "702-932-4257",
            "fax_number": "702-734-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTANYAN",
        "first_name": "TIGRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "19705",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD467621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.