Active NPI
John M. Zeroogian, M.D.
- Gastroenterology Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 73813
- Practice address
- 630 S Raymond Ave Unit 240
Pasadena, CA 91105-3283 - Phone
- (626) 449-9920
- Fax
- (626) 578-7366
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 033771 | CT | |
| Gastroenterology Physician | 207RG0100X | 73813 | MA | Primary |
Addresses
Primary practice location
630 S Raymond Ave Unit 240
Pasadena, CA 91105-3283
Mailing address
630 S Raymond Ave Unit 240
Pasadena, CA 91105-3283
Phone (626) 449-9920
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 073813 | Other | MA | TUFTS HEALTH PLAN |
| 3127125 | Medicaid | MA | |
| J14535 | Other | CT | BLUE CROSS BLUE SHIELD MA |
| 100000307 | Other | MA | BLUE CROSS BLUE SHIELD CT |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
23600 Telo Ave
Suite 220
Torrance, CA 90505-4039
Phone (310) 534-8400
50 Alessandro PL
Suite 410
Pasadena, CA 91105-3175
Phone (626) 793-7114
9850 Genesee Ave
Suite 440
La Jolla, CA 92037-1212
Phone (858) 453-5944
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 81 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73813 | MA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Institute of the South Bay | Current | Accepting new patients | |
| Genesis Healthcare Partners PC | Current | Accepting new patients | |
| Skyline Urology | Current | Accepting new patients |
Locations
225 W Broadway
Ste 350
Glendale, CA 91204
Phone (626) 808-4754
9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944
50 Bellefontaine St
Ste 308
Pasadena, CA 91105
Phone (626) 473-0301
630 S Raymond Ave
Unit 240
Pasadena, CA 91105
Phone (626) 449-9920
50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114
23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Specialist
- Encinitas, CA
- NPI 1548567498
-
- Specialist
- Torrance, CA
- NPI 1730136573
-
- Urology Physician
- Torrance, CA
- NPI 1801804760
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1437149226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 S RAYMOND AVE UNIT 240",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053283",
"telephone_number": "626-449-9920",
"fax_number": "626-578-7366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S RAYMOND AVE UNIT 240",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053283",
"telephone_number": "626-449-9920",
"fax_number": "626-578-7366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEROOGIAN",
"first_name": "JOHN",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CT",
"license": "033771",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "73813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "073813",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3127125",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MA",
"identifier": "J14535",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD CT",
"identifier": "100000307",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.