Viken Manjikian, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G72109 Issued in CA

Practice address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5349

Phone

(952) 595-1301

Fax

(612) 294-4903

NPI assigned

Apr 25, 2006

Last updated

Oct 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV, WA3 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 3

Specialty

Diagnostic Radiology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Imaging Center, Inc.Group PAC ID 6406808427, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vmanjikian10494@direct.umcsn.com

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.

• Advanced Imaging Center, Inc.

  • Diagnostic Radiology Physician
  • Lancaster, CA
  • NPI 1467638064
  Medicare reassignment Care Compare group NPD
• Klickitat County Public Hospital District No 1

  dba Klickitat Valley Health

  • Critical Access Hospital
  • Goldendale, WA
  • NPI 1386689487
  Medicare reassignment NPD
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  CA

  Medicare reassignment NPD
• Okanogan Douglas County Hospital Dist 1

  dba Three Rivers Hospital

  • Critical Access Hospital
  • Brewster, WA
  • NPI 1205942257
  Medicare reassignment NPD
• Radiology Associates of South Florida LLC

  • Diagnostic Radiology Physician
  • Longview, TX
  • NPI 1699759183

  CA

  Medicare reassignment NPD
• Stockdale Radiology Physicians Services, Inc

  dba Stockdale Radiology Physicians

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1669806402
  Medicare reassignment NPD
• Ellis Bandt Birkin Kollins & Wong PLLC

  dba Desert Radiology

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1578584678
  Medicare reassignment
• Integrated Imaging Consultants LLC

  • Diagnostic Radiology Physician
  • Park Ridge, IL
  • NPI 1700285335

  CA

  Medicare reassignment
• Southwest Medical Associates, Inc

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1659346005
  Medicare reassignment
• Okanogan Douglas County Hospital Dist 1

  dba Three Rivers Family Medicine

  • Rural Health Clinic/Center
  • Brewster, WA
  • NPI 1891347696
  NPD
• Okanogan Douglas County Hospital Dist1

  dba Three Rivers Hospital

  • Critical Access Hospital
  • Brewster, WA
  • NPI 1578649794
  NPD
• Prestige Ultrasound, LLC

  • Radiology Clinic/Center
  • N Las Vegas, NV
  • NPI 1194373522
  NPD

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1225094683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJIKIAN",
        "first_name": "VIKEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "15935",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G72109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Leaf Maistrovich, PSYD
• Sarah L Mallak, PHARM.D.
• Mam Pca Inc
• Michael L Mancini, DO
• Heidi Elizabeth Mandt, PHARMD
• Paige Nicholle Mann, OTR/L
• Susan Pamela Mann
• Natalie Estee Mannes
• Kalyn Mapstone
• Tabitha Manero Marek, M.D.

• Diagnostic Radiology Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.