Individual provider Active NPI

Frederick A Boghossian, M.D.

  • Gastroenterology Physician
  • Glendale, CA
National Provider Identifier
1841303849
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A648780 Issued in CA
Practice address
1560 E Chevy Chase Dr
Suite # 320
Glendale, CA 91206-4197
Phone
(818) 241-0300
Fax
(818) 241-0333
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A648780 CA Primary

Addresses

Primary practice location

1560 E Chevy Chase Dr
Suite # 320
Glendale, CA 91206-4197

Mailing address

1560 E Chevy Chase Dr
Suite # 320
Glendale, CA 91206-4197
Phone (818) 241-0300

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
I20031125000499 CA Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Hematology 2062325608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Hematology, Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1560 E Chevy Chase Dr
Suite 320
Glendale, CA 91206-4140
Phone (818) 241-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy839
Upper gastrointestinal (GI) endoscopy for acid reflux708

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A648780CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick a Boghossian MD Inc Gastroenterology CurrentSince Nov 1, 2003 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients

Locations

1560 E Chevy Chase Dr
Ste 320
Glendale, CA 91206
Phone (818) 241-0300

1560 E Chevy Chase Dr
Ste 32
Glendale, CA 91206

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: frederickboghossian@fbmd.allscriptsdirect.net

Organizations & group practices 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1841303849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E CHEVY CHASE DR",
            "address_2": "SUITE # 320",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064197",
            "telephone_number": "818-241-0300",
            "fax_number": "818-241-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E CHEVY CHASE DR",
            "address_2": "SUITE # 320",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064197",
            "telephone_number": "818-241-0300",
            "fax_number": "818-241-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGHOSSIAN",
        "first_name": "FREDERICK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A648780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.