Kamran Koochek, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A77834 Issued in CA

Practice address

4910 Van Nuys Blvd
Ste 108
Sherman Oaks, CA 91403-1757

Phone

(818) 986-4211

Fax

(818) 986-4215

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Diagnostic RadiologyAlso: Nuclear Medicine

Education

Brody School of Medicine at East Carolina University, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glendale Diagnostic Imaging Network Medical Office IncGroup PAC ID 6305877051, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

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.

• Glendale Diagnostic Imaging Network Medical Office, Inc

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1902814759
  Medicare reassignment Care Compare group NPD
• Valley Central Imaging Inc

  • Diagnostic Radiology Physician
  • Hanford, CA
  • NPI 1144480773
  NPD (past) Authorized official
• Glendale Diagnostic Imaging Network Medical Office, Inc

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1740403104
  NPD (past)
• Hanford Community Hospital

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  NPD (past)
• Hni Medical Services of California, PC

  • Hospitalist Physician
  • Rancho Mirage, CA
  • NPI 1154797041
  NPD (past)
• Oasis Radiology

  • Diagnostic Radiology Physician
  • Indio, CA
  • NPI 1699707174
  NPD (past)
• Palm Desert Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Rancho Mirage, CA
  • NPI 1124079868
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1922049501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "STE 108",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031757",
            "telephone_number": "818-986-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "STE 108",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031757",
            "telephone_number": "818-986-4211",
            "fax_number": "818-986-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOCHEK",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A77834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A778340",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A778340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liana Kogan
• Jonathan F Kohan, MD
• Sharona Sherry Kohanbash, PHARMACIST
• Lindsey Kohn, LMFT
• Ilene Kong, D.P.T.
• Tina Beth Koopersmith, M.D.
• Adam Kootman
• Alexander Korchmarev, M.D.
• Isabella Lilliana Kordes
• Hershel Korngut

• Diagnostic Radiology Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.