NPIMap

Individual provider Active NPI

Tsovinar Tekkelian, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Glendale, CA
National Provider Identifier
1558447607
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
A52251 Issued in CA
Practice address
1251 S Glendale Ave
Glendale, CA 91205-3204
Phone
(818) 500-9393
Fax
(818) 500-1046
NPI assigned
Oct 31, 2006
Last updated
Apr 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X A52251 CA Primary
Infectious Disease Physician 207RI0200X A52251 CA

Addresses

Primary practice location

1251 S Glendale Ave
Glendale, CA 91205-3204

Mailing address

1251 S Glendale Ave
Glendale, CA 91205-3204
Phone (818) 500-9393

Other identifiers 1

IdentifierTypeStateIssuer
1558447607MedicaidCA

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
I20051216000501 CA Practitioner - Internal Medicine 2860413960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1251 S Glendale Ave
Glendale, CA 91205-3204

511 Western Ave
Glendale, CA 91201-2870
Phone (818) 240-5588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
89.53
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Razmik Ohanjanian MD Inc CurrentSince May 31, 2010 Accepting new patients
Comcare Primary Medical Group a California General Partnership CurrentSince Sep 4, 2016 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Vachik Shahnazarian MD Inc PastSince Sep 15, 2003 Accepting new patients

Locations

333 E Magnolia Blvd
Ste 103
Burbank, CA 91502
Phone (747) 283-1797

1030 S Glendale Ave
Ste 304
Glendale, CA 91205
Phone (818) 291-4041

1251 S Glendale Ave
Glendale, CA 91205
Phone (818) 500-9393

511 Western Ave
Glendale, CA 91201
Phone (818) 240-5588

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tsovinartekkelianmd@ttm-ca.direct.office.nextgen.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1558447607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053204",
            "telephone_number": "818-500-9393",
            "fax_number": "818-500-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053204",
            "telephone_number": "818-500-9393",
            "fax_number": "818-500-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKKELIAN",
        "first_name": "TSOVINAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A52251",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A52251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558447607",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.