Individual provider Active NPI

Levon Kyupelyan, MD

  • Anesthesiology Physician
  • Glendale, CA
National Provider Identifier
1457701765
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A156660 Issued in CA
Practice address
1500 E Chevy Chase Dr Ste 450
Glendale, CA 91206-4153
Phone
(818) 233-3786
NPI assigned
Jun 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A156660 CA Primary

Addresses

Primary practice location

1500 E Chevy Chase Dr Ste 450
Glendale, CA 91206-4153

Mailing address

PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200708002871 CA Practitioner - Anesthesiology 9335562479 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, Geffen School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glendale Adventist Medical CenterGroup PAC ID 4284692096, 99 clinicians

Practice addresses (Care Compare)

1500 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4199
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
78.77
Promoting interoperability
92
Improvement activities
40
Cost
48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A156660CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Memorial Medical Center CurrentSince Jan 24, 2025 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jan 17, 2023 Accepting new patients
Anesthesia on Demand - a Professional Nursing Corporation Anesthesiology CurrentSince Jul 7, 2024 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jan 17, 2023 Accepting new patients
Buena Vista Anesthesia Medical Group Anesthesiology CurrentSince Jul 15, 2020 Accepting new patients
Consultants for Anesthesia & Management of Pain Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

1500 E Chevy Chase Dr
Ste 450
Glendale, CA 91206
Phone (818) 230-7778

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

801 S Chevy Chase Dr
Ste 106
Glendale, CA 91205
Phone (818) 265-2275

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

11234 Anderson St
#25348182333786
Loma Linda, CA 92350

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

6100 Waterford District Dr
Ste 450
Miami, FL 33126

Organizations & group practices 6

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 1

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1457701765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5486",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635486",
            "telephone_number": "818-550-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR STE 450",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064153",
            "telephone_number": "818-233-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYUPELYAN",
        "first_name": "LEVON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A156660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.