Individual provider Active NPI

Gregory H. Tchejeyan, M.D., INC

  • Specialist
  • Thousand Oaks, CA
National Provider Identifier
1689668188
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A55364 Issued in CA
Practice address
250 Lombard St Ste 1
Thousand Oaks, CA 91360-8208
Phone
(805) 495-3687
Fax
(805) 494-1828
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A55364 CA Primary

Addresses

Primary practice location

250 Lombard St Ste 1
Thousand Oaks, CA 91360-8208

Mailing address

250 Lombard St Ste 1
Thousand Oaks, CA 91360-8208
Phone (805) 495-3687

Other identifiers 1

IdentifierTypeStateIssuer
1376835330OtherCANPI TYPE II

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
I20120228000177 CA Practitioner - Orthopedic Surgery 4587675152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Southern California Keck School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 Lynn Rd
Thousand Oaks, CA 91360-1936

250 Lombard St
Suite 1
Thousand Oaks, CA 91360-8208
Phone (805) 495-3687

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.61 of 100Reported as individual
Quality
94.96
Promoting interoperability
100
Improvement activities
40
Cost
60.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement37
Knee replacement46
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A55364CAMDSpecialist

Organizations & group practices 1

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 5

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1689668188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LOMBARD ST STE 1",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608208",
            "telephone_number": "805-495-3687",
            "fax_number": "805-494-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LOMBARD ST STE 1",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608208",
            "telephone_number": "805-495-3687",
            "fax_number": "805-494-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHEJEYAN",
        "first_name": "GREGORY",
        "middle_name": "H.",
        "credential": "M.D., INC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A55364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE II",
            "identifier": "1376835330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.