NPIMap

Individual provider Active NPI

Karo Isagholian, M.D.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1326078528
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73825 Issued in CA
Practice address
900 N Pacific Ave
Glendale, CA 91203-3644
Phone
(818) 244-8241
NPI assigned
Jul 3, 2006
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A73825 CA Primary

Addresses

Primary practice location

900 N Pacific Ave
Glendale, CA 91203-3644

Mailing address

900 N Pacific Ave
Glendale, CA 91203-3644
Phone (818) 244-8241

Other identifiers 1

IdentifierTypeStateIssuer
00A738250MedicaidCA

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
I20051223000195 CA Practitioner - Internal Medicine 2860414471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 N Pacific Ave
Glendale, CA 91203-3644
Phone (818) 244-8241

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.34 of 100Reported as individual
Quality
82.97
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions14
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73825CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karo Isagholian MD Inc Internal Medicine CurrentSince Nov 2, 2008 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

435 Arden Ave
Ste 330
Glendale, CA 91203
Phone (818) 507-6404

900 N Pacific Ave
Glendale, CA 91203
Phone (818) 244-8241

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5961/brand/1/csg/1/fhir/r4
  • Direct secure messaging: karo.isagholian.1@5961.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1326078528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033644",
            "telephone_number": "818-244-8241",
            "fax_number": "818-244-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033644",
            "telephone_number": "818-244-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAGHOLIAN",
        "first_name": "KARO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A738250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.