Michelle Shireen Kolsi, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A93068 Issued in CA

Practice address

110 W Stocker St
Glendale, CA 91202-2509

Phone

(818) 244-7237

Fax

(818) 244-6787

NPI assigned

Jun 22, 2007

Sex

Female

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Intercommunity Emergency Medical Group

  • Emergency Medicine Physician
  • Whittier, CA
  • NPI 1871535286
  Medicare reassignment NPD
• Childrens Hospital of Los Angeles

  • Children's Hospital
  • Los Angeles, CA
  • NPI 1124073366
  NPD (past)
• Steven Nishibayashi, MD, Inc.

  • Health Service Clinic/Center
  • Glendale, CA
  • NPI 1245290600
  NPD (past)
• Usc Verdugo Hills Hospital, LLC

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1265875207
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1821294307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W STOCKER ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022509",
            "telephone_number": "818-244-7237",
            "fax_number": "818-244-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W STOCKER ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022509",
            "telephone_number": "818-244-7237",
            "fax_number": "818-244-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLSI",
        "first_name": "MICHELLE",
        "middle_name": "SHIREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A93068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Kochkarian, O.D.
• Grigor Kodzhoglyan
• H James Kojian II, MD
• Artine Kokshanian, M.D.
• Jerry W. Kolesar, D.M.D
• Azniv Kolyan
• Lala Konaraki, FNP
• Tagui Kondzoyan
• Irene Sora Koo, D.A.O.M
• Koris Behavioral Centers, Inc.

• Pediatrics Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.