Andranik Vahan Khatchatrian, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

231254 Issued in NY

Practice address

1512 Broadway
Hewlett, NY 11557-1429

Phone

(516) 374-6838

Fax

(516) 374-2362

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Physical Medicine and Rehabilitation

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brenton D. Wynn, MD IncGroup PAC ID 1759321086, 4 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Brenton D. Wynn, MD Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • National City, CA
  • NPI 1598953960
  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Orthopaedic Surgery Physician
  • San Diego, CA
  • NPI 1225130677
  Medicare reassignment NPD
• Khatchatrian Medical PC

  • Specialist
  • Brooklyn, NY
  • NPI 1215212154
  NPD Authorized official
• Regents of the University of California

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1558463927
  NPD
• Island Musculoskeletal Care MD PC

  • Orthopaedic Surgery Physician
  • Richmond Hill, NY
  • NPI 1780071548

  Physical Medicine & Rehabilitation

  NPD (past)
• Sergey V. Bogdan, MD PC

  • Interventional Pain Medicine Physician
  • Brooklyn, NY
  • NPI 1568646982
  NPD (past)
• Bethesda Physical Therapy and Rehabilitation Services Inc.

  • Physical Medicine & Rehabilitation Physician
  • National City, CA
  • NPI 1700492949
  NPD (past)
• Innovative Pain Management Medical Group

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • National City, CA
  • NPI 1902330285
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1467447029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115570360",
            "telephone_number": "516-374-6838",
            "fax_number": "516-374-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571429",
            "telephone_number": "516-374-6838",
            "fax_number": "516-374-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATCHATRIAN",
        "first_name": "ANDRANIK",
        "middle_name": "VAHAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "231254",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA09226700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ann Keilson, LCSW
• Natalie Rose Kenny, CF-SLP TSSLD
• Rita Kerner
• Leonid Khalatov
• Pooja Khanna
• Kidz Discovery Inc.
• Shuhyun Kim
• Shanice King
• Asaf Klein, M.D.
• Jessica Ann Klein, DMD

• Physical Medicine & Rehabilitation Physician in Hewlett, NY
• Providers in Hewlett, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.