NPIMap

Individual provider Active NPI

Nicholas Michael Panagiotis, M.D.

  • Specialist
  • Tarzana, CA
National Provider Identifier
1255313458
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A23551 Issued in CA
Practice address
18370 Burbank Blvd
507
Tarzana, CA 91356-2804
Phone
(818) 774-9200
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A23551 CA Primary

Addresses

Primary practice location

18370 Burbank Blvd
507
Tarzana, CA 91356-2804

Mailing address

18370 Burbank Blvd
507
Tarzana, CA 91356-2804
Phone (818) 774-9200

Other identifiers 1

IdentifierTypeStateIssuer
00A235510MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000956 CA Practitioner - Internal MedicinePractitioner - Endocrinology 8022143163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
University of Utah School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18372 Clark St
Suite 212
Tarzana, CA 91356-3522

18372 Clark St
Suite 212
Tarzana, CA 91356-3551
Phone (818) 697-9009

18425 Burbank Blvd
Suite 622
Tarzana, CA 91356-2826

Hospital & facility affiliations

  • Pristine Home Health Inc Home health agency, Burbank, CA, CCN 058128
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas Michael Panagiotis, MD Inc Specialist CurrentSince Aug 21, 1980 Accepting new patients
Hoover Clinica Urgencia CurrentSince Apr 1, 2022 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Medical Institute Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Dignity Community Care Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

1620 S Hoover St
Ste B
Los Angeles, CA 90006
Phone (213) 275-1314

18372 Clark St
Ste 212
Tarzana, CA 91356
Phone (818) 697-9009

18370 Burbank Blvd
Ste 507
Tarzana, CA 91356
Phone (818) 774-0800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBEDCA/Endpoint/GBEDCA
  • Direct secure messaging: npanagiotis350518@oc.providencedirect.org
  • Direct secure messaging: nicholas.panagiotis@606990805237764.direct.elationemr.com

Organizations & group practices 7

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.

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1255313458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "507",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562804",
            "telephone_number": "818-774-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "507",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562804",
            "telephone_number": "818-774-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAGIOTIS",
        "first_name": "NICHOLAS",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A23551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A235510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.