Individual provider Active NPI

Ara Kelekian, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Montebello, CA
National Provider Identifier
1871598748
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4536 Issued in CA
Practice address
515 W Beverly Blvd
Suite 201
Montebello, CA 90640-3665
Phone
(323) 346-0996
Fax
(323) 346-0986
NPI assigned
Jun 16, 2005
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4536 CA
Primary Podiatric Medicine Podiatrist 213EP1101X E4536 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E4536 CA Primary

Addresses

Primary practice location

515 W Beverly Blvd
Suite 201
Montebello, CA 90640-3665

Mailing address

515 W Beverly Blvd
Suite 201
Montebello, CA 90640-3665
Phone (323) 346-0996

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001844 CA Practitioner - Podiatry 2769465665 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Los Angeles Institute of Foot and Ankle Surgery, Inc.Group PAC ID 3971552324, 7 clinicians

Practice addresses (Care Compare)

201 S Buena Vista St
Suite 305
Burbank, CA 91505-4516
Phone (818) 848-5588

515 W Beverly Blvd
Suite 201
Montebello, CA 90640-3665
Phone (323) 346-0996

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue548
Removal of skin lesions1-10
Removal of nail tissue1240
Removal or shaving of skin growth537
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Institute of Foot and Ankle Surgery, Inc. Podiatrist CurrentSince Oct 2, 2012 Accepting new patients
Vascular Interventional Partners Inc Podiatrist CurrentSince Jun 20, 2017 Accepting new patients
Ara Kelekian DPM Inc Podiatrist CurrentSince Oct 24, 2005 Accepting new patients
Valley Vascular Associates, Inc Past Accepting new patients
Dr. Amir Lebaschi, a Professional Corporation Podiatrist Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
San Gabriel Valley Foot and Ankle Clinic, Inc. Podiatrist Past Accepting new patients

Locations

201 S Buena Vista St
Ste 235
Burbank, CA 91505
Phone (818) 709-9500

201 S Buena Vista St
Ste 305
Burbank, CA 91505
Phone (818) 848-5588

4314 W Victory Blvd
Burbank, CA 91505
Phone (818) 843-6611

9922 Walker St
Ste E
Cypress, CA 90630
Phone (323) 346-0996

1808 Verdugo Blvd
Ste 116
Glendale, CA 91208

515 W Beverly Blvd
Ste 201
Montebello, CA 90640
Phone (323) 346-0996

18350 Roscoe Blvd
Ste 200
Northridge, CA 91325
Phone (323) 423-4237

18531 Roscoe Blvd
Ste 215
Northridge, CA 91324
Phone (818) 700-0411

23911 Calgrove Blvd
Santa Clarita, CA 91321
Phone (661) 505-7079

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

935 S Sunset Ave
West Covina, CA 91790
Phone (626) 888-7414

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: arakelekian.255.5156@securemailmdscloud.mdsynergy.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/299f89be-f85c-4368-87fb-a971e7696d7c/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1871598748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W BEVERLY BLVD",
            "address_2": "SUITE 201",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403665",
            "telephone_number": "323-346-0996",
            "fax_number": "323-346-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W BEVERLY BLVD",
            "address_2": "SUITE 201",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403665",
            "telephone_number": "323-346-0996",
            "fax_number": "323-346-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELEKIAN",
        "first_name": "ARA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4536",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E4536",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.