HAGOP JACK MKROYAN PMHNP
NPI 1104479179
Nurse Practitioner - Psychiatric/Mental Health in Glendale, CA
About Hagop Jack Mkroyan Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAGOP JACK MKROYAN PMHNP (NPI 1104479179) is an individual psychiatric/mental health provider in Glendale, California, licensed in California (95012171) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Hagop Jack Mkroyan Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Hagop Mkroyan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glendale, CA 91202
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
Sherman Oaks, CA 91403
- Reassigned Medicare billing, California enrollment
- 15 clinicians in this Medicare group
Agoura Hills, CA 91301
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLENDALE, CA 91202
GLENDALE, CA 91202
GLENDALE, CA 91202
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hagop Mkroyan's NPI number?
The NPI number for Hagop Mkroyan is 1104479179. It was assigned to this individual provider in the NPPES registry on July 18, 2019.
Where is Hagop Mkroyan located?
Hagop Mkroyan practices at 1111 N Brand Blvd Ste 312, Glendale, CA 91202. The listed phone number is (323) 230-0017.
What is Hagop Mkroyan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Hagop Mkroyan enrolled in Medicare?
Yes. Hagop Mkroyan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Hagop Mkroyan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hagop Mkroyan reassigns Medicare benefits to 3 organizations: Penciu Medical Apmc (Glendale, CA), Dadoyan Behavioral Medical Group Inc (Sherman Oaks, CA) and Klc Consultants, PC (Agoura Hills, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hagop Mkroyan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hagop Mkroyan accept?
Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Hagop Mkroyan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Hagop Mkroyan was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Hagop Jack Mkroyan, PMHNP · NPI 1104479179
Psychiatric/Mental Health physician in Glendale, California. Individual provider, active in the CMS NPPES registry since July 18, 2019.
## Identity
- **NPI:** 1104479179 (Entity type: Individual)
- **Enumerated:** July 18, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95012171 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1111 N BRAND BLVD STE 312, Glendale, CA 91202-3071
- **Phone:** (323) 230-0017
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Penciu Medical Apmc (NPI 1295351740, Glendale, CA); Dadoyan Behavioral Medical Group Inc (NPI 1841687878, Sherman Oaks, CA); Klc Consultants, PC (NPI 1053808899, Agoura Hills, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104479179) · Data from the CMS NPPES public registry.