NPIMap

Individual provider Active NPI

Mikayel Grigoryan, M.D.

  • Neurological Surgery Physician
  • Glendale, CA
National Provider Identifier
1801003686
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A107120 Issued in CA
Practice address
1451 E Chevy Chase Dr Ste 201
Glendale, CA 91206-4056
Phone
(818) 265-2245
Fax
(877) 291-4895
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A107120 CA
Vascular Neurology Physician 2084V0102X A107120 CA
Neuroradiology Physician 2085N0700X A107120 CA
Vascular & Interventional Radiology Physician 2085R0204X A107120 CA
Neurological Surgery Physician 207T00000X A107120 CA Primary

Addresses

Primary practice location

1451 E Chevy Chase Dr Ste 201
Glendale, CA 91206-4056

Mailing address

3310 Sparr Blvd
Glendale, CA 91208-1663
Phone (818) 253-1525

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
I20170208002020 CA Practitioner - NeurologyPractitioner - NeuropsychiatryPractitioner - Neurosurgery 3476700162 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Neurosurgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1451 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4056
Phone (650) 995-3193

3310 Sparr Blvd
Glendale, CA 91208-1663

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056

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
A107120CAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Badr Medical Corporation Neurological Surgery CurrentSince Nov 29, 2016 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jan 27, 2017 Accepting new patients
Central Coast Neurovascular Neurological Surgery CurrentSince Nov 9, 2021 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jan 27, 2017 Accepting new patients
Mikayel Grigoryan MD Inc Neurological Surgery CurrentSince Jul 1, 2019 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Atlanta Medical Center Interventional Neurology Associates, LLC Neurology Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients

Locations

1451 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 265-2245

1500 E Chevy Chase Dr
Ste 204
Glendale, CA 91206
Phone (818) 243-1501

1500 E Chevy Chase Dr
Ste 401
Glendale, CA 91206
Phone (818) 863-4444

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

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

1701 E Cesar E Chavez Ave
Ste 356
Los Angeles, CA 90033
Phone (323) 352-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mikayelgrigoryanmdinc.mikayelgrigoryan@144418.advancedmd-direct.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mgrigoryan@mgmi-ca.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Protective Home Health Care IncGlendale, CA, CCN 757165 Home health agency Contracted Managing Employee Jul 25, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1801003686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 SPARR BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081663",
            "telephone_number": "818-253-1525",
            "fax_number": "818-484-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 E CHEVY CHASE DR STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064056",
            "telephone_number": "818-265-2245",
            "fax_number": "877-291-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGORYAN",
        "first_name": "MIKAYEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2021-11-03",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A107120",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CA",
            "license": "A107120",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A107120",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A107120",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A107120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.