Individual provider Active NPI

Mkrtich Patatanyan, DO

  • Hospitalist Physician
  • Norton, VA
National Provider Identifier
1750860466
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
20A18882 Issued in CA
Practice address
96 15TH St NW Ste 106
Norton, VA 24273-1625
Phone
(276) 678-3488
NPI assigned
Aug 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20A18882 CA Primary
Internal Medicine Physician 207R00000X 0116032277 VA

Addresses

Primary practice location

96 15TH St NW Ste 106
Norton, VA 24273-1625

Mailing address

1365 Riverbend Dr Apt 105
Kingsport, TN 37664-4081
Phone (818) 903-3266

Other identifiers 1

IdentifierTypeStateIssuer
0116032277OtherVADEPARTMENT OF HEALTH PROFESSIONALS COMMONWEALTH VIRGINIA

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
I20211007002004 CA Practitioner - Internal MedicinePractitioner - Hospitalist 4284032129 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

Hospital & facility affiliations

  • Top Line Home Healthcare, Inc Home health agency, Glendale, CA, CCN 059449
  • 7 Star Hospice Care Inc Hospice, San Bernardino, CA, CCN B51769
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Glendale Adventist Medical Center DP/SNF Nursing home, Glendale, CA, CCN 555911

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18882CAMDClinical Social Worker
0116032277VAMDInternal Medicine Physician
20A18882CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Wound Solutions CurrentSince Sep 23, 2024 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 11, 2021 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Oct 11, 2021 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Vital Wound Care CurrentSince Jun 18, 2025 Accepting new patients
24 On Physicians of California, PC Hospitalist CurrentSince Sep 1, 2021 Accepting new patients
Dmpmed Apc Internal Medicine CurrentSince Mar 3, 2024 Accepting new patients

Locations

2185 Citracado Pkwy
#1182
Escondido, CA 92029
Phone (805) 473-7626

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

10324 Balboa Blvd
Ste 115
Granada Hills, CA 91344
Phone (310) 666-2392

10324 Balboa Blvd
Ste 100
Granada Hills, CA 91344
Phone (310) 666-2392

3959 Foothill Blvd
La Crescenta, CA 91214
Phone (310) 666-2392

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

Organizations & group practices 7

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 4

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1750860466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 RIVERBEND DR APT 105",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644081",
            "telephone_number": "818-903-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 15TH ST NW STE 106",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731625",
            "telephone_number": "276-678-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATATANYAN",
        "first_name": "MKRTICH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A18882",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116032277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH PROFESSIONALS COMMONWEALTH VIRGINIA",
            "identifier": "0116032277",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.