NPIMap

Individual provider Active NPI

Lusine Simonyants, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Glendale, CA
National Provider Identifier
1669685111
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A104434 Issued in CA
Practice address
1511 W Glenoaks Blvd
Glendale, CA 91201-1912
Phone
(818) 637-2200
Fax
(818) 637-2250
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A104434 CA
Pulmonary Disease Physician 207RP1001X A104434 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A104434 CA Primary

Addresses

Primary practice location

1511 W Glenoaks Blvd
Glendale, CA 91201-1912

Mailing address

1511 W Glenoaks Blvd
Glendale, CA 91201-1912
Phone (818) 637-2200

Other identifiers 10

IdentifierTypeStateIssuer
250018OtherPAUNISON-WMG
50080323OtherPACAPITAL BLUS CROSS-WMG
940467-01OtherMDCAREFIRST MD BCBS
20080321OtherPAAMERIHEALTH MERCY-WMG
2066650OtherPAHIGHMARK BLUE SHIELD
9164247OtherPAAETNA
001264101MedicaidPA
212462OtherPAJOHNS HOPKINS
121885OtherPAGEISINGER HEALTH PLAN
1577543OtherPAGATEWAY-WMG

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
I20100817000385 CA Practitioner - Pulmonary Disease 4385702547 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vista Critical Care Associates IncGroup PAC ID 8729479225, 15 clinicians

Practice addresses (Care Compare)

1511 W Glenoaks Blvd
Glendale, CA 91201-1912
Phone (818) 637-2200

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104434CAMDMarriage & Family Therapist
A104434CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Internal Medicine CurrentSince Nov 3, 2014 Accepting new patients
Vista Critical Care Associates Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Dignity Health Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
York Hospital Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients

Locations

1511 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 637-2200

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

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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 3

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1669685111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011912",
            "telephone_number": "818-637-2200",
            "fax_number": "818-637-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011912",
            "telephone_number": "818-637-2200",
            "fax_number": "818-637-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONYANTS",
        "first_name": "LUSINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A104434",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A104434",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A104434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG",
            "identifier": "250018",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUS CROSS-WMG",
            "identifier": "50080323",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "940467-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-WMG",
            "identifier": "20080321",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2066650",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9164247",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001264101",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "212462",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "121885",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "1577543",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.