Individual provider Active NPI

Patrick Andrew Baghdasaryan, M.D.

  • Hospitalist Physician
  • Glendale, CA
National Provider Identifier
1912448358
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A163370 Issued in CA
Practice address
1911 Rams Horn CT
Glendale, CA 91207-1062
Phone
(818) 482-9982
NPI assigned
Mar 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Hospitalist Physician 208M00000X A163370 CA Primary

Addresses

Primary practice location

1911 Rams Horn CT
Glendale, CA 91207-1062

Mailing address

1911 Rams Horn CT
Glendale, CA 91207-1062

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
I20210513002977 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Hospitalist 0648689059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Gregory Heart and Vascular Center IncGroup PAC ID 2264801497, 3 clinicians

Practice addresses (Care Compare)

1560 E Chevy Chase Dr
Suite 400
Glendale, CA 91206-4197
Phone (818) 405-5040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair14
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163370CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Gregory Heart and Vascular Center, Inc. CurrentSince Aug 1, 2024 Accepting new patients

Locations

2701 W Alameda Ave
Ste 602
Burbank, CA 91505
Phone (818) 562-7374

1560 E Chevy Chase Dr
Ste 400
Glendale, CA 91206
Phone (818) 405-5040

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fe81ea45-4e0e-4dc1-a82a-ac3412315182/

Organizations & group practices 1

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 2

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": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1912448358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 RAMS HORN CT",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 RAMS HORN CT",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071062",
            "telephone_number": "818-482-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHDASARYAN",
        "first_name": "PATRICK",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-18",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A163370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.