Hratch Dirayr Kourouyan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A70536 Issued in CA

Practice address

1540 W Glenoaks Blvd Ste 101
Glendale, CA 91201-3153

Phone

(818) 247-8739

Fax

(818) 247-8733

NPI assigned

Apr 16, 2007

Last updated

Apr 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Ophthalmology

Education

University of California, San Francisco School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hratch D Kourouyan MD Inc

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1780199034
  Medicare reassignment NPD Authorized official
• La Special Care Hospice Inc

  • Community Based Hospice Care Agency
  • Los Angeles, CA
  • NPI 1306437116
  NPD (past)

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

• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  Care Compare affiliation

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1386869113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W GLENOAKS BLVD STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013153",
            "telephone_number": "818-247-8739",
            "fax_number": "323-667-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W GLENOAKS BLVD STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013153",
            "telephone_number": "818-247-8739",
            "fax_number": "818-247-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUROUYAN",
        "first_name": "HRATCH",
        "middle_name": "DIRAYR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A70536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A705360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Koskey
• Grant Kostikian
• Armond Kotikian, M.D., DDS
• Sylvia Kotikian, M.D.
• Araksya Roxy Koupalian, P.A.
• Hrair A Koutnouyan, MD
• Paul B Kouyoumjian, MD
• Eloise Kowal, SLP
• Sheilah Maureen Kraetzel, N.P.
• Kevork Krajian, RDMS

• Ophthalmology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.