Samvel Keshishyan, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5652 Issued in CA

Practice address

800 S Central Ave Ste 202
Glendale, CA 91204-4375

Phone

(818) 927-3668

Fax

(818) 927-3686

NPI assigned

Jun 17, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samvel.keshishyan.1@24484.direct.athenahealth.com

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.

• Next Generation Foot and Ankle, Inc

  • Podiatrist
  • Glendale, CA
  • NPI 1710516042

  Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official
• Dignity Health

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1659721850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE",
            "address_2": "STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044375",
            "telephone_number": "818-927-3668",
            "fax_number": "818-927-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044375",
            "telephone_number": "818-927-3668",
            "fax_number": "818-927-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHISHYAN",
        "first_name": "SAMVEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keshishyan Dental Corporation
• Andranik Keshishyan, D.C.
• Aykanush Keshishyan, LVN
• Edit Kathy Keshishyan, OT
• Nelly Keshishyan
• Sarkis Keshishyan, D.D.S.
• Vardush Keshishyan, M.A.
• Heghine Gina Kestenian
• Armand Keuroghlian, DDS
• Kevin G. Galstyan M.D., Inc

• Foot & Ankle Surgery Podiatrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.