DR. RAFFI JOHN KHECHOUMIAN DPM
NPI 1124715701
Podiatrist - Foot & Ankle Surgery in Sherman Oaks, CA

Q: What is Raffi Khechoumian's NPI number?

The NPI number for Raffi Khechoumian is 1124715701. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Raffi Khechoumian's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Raffi Khechoumian was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since April 24, 2023PECOS Enrolled

4849 VAN NUYS BLVD STE 205A, SHERMAN OAKS, CA 91403(310) 828-0011 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Raffi John Khechoumian Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAFFI JOHN KHECHOUMIAN DPM (NPI 1124715701) is an individual foot & ankle surgery provider in Sherman Oaks, California, licensed in California (6165) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of William M. Scholl College Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1124715701

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. RAFFI JOHN KHECHOUMIANCredential: DPM

Location Address4849 VAN NUYS BLVD STE 205ASherman Oaks, CA 91403-2110

Mailing AddressPo Box 841868Los Angeles, CA 90084-1868

Phone(310) 828-0011

Sole ProprietorNo

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2023

Enumeration DateApril 24, 2023

Last NPPES UpdateJuly 8, 2026

NPPES CertifiedJuly 8, 2026

✔ NPI 1124715701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in CA · 6165

Also ListedPodiatristTaxonomy 213E00000X · License 6165 (CA)

4849 VAN NUYS BLVD STE 205A, Sherman Oaks, CA 91403

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Secondary Practice Location 1

Location 111301 Wilshire BlvdLos Angeles, CA 90073-1003 · Phone (310) 478-3711

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raffi John Khechoumian Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860958287

PECOS Enrollment IDI20260727002484

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Raffi Khechoumian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Foot And Ankle Institute A Podiatric Surgical Center

1.0 mi

Foot & Ankle Surgery

5170 SEPULVEDA BLVD STE 100
Sherman Oaks, CA 91403

Reassigned Medicare billing, California enrollment
29 clinicians in this Medicare group

NPI 1821105891 (310) 828-0011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Raffi Khechoumian's NPI number?

The NPI number for Raffi Khechoumian is 1124715701. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Raffi Khechoumian located?

Raffi Khechoumian practices at 4849 Van Nuys Blvd Ste 205A, Sherman Oaks, CA 91403. The listed phone number is (310) 828-0011.

What is Raffi Khechoumian's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Raffi Khechoumian enrolled in Medicare?

Yes. Raffi Khechoumian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raffi Khechoumian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raffi Khechoumian reassigns Medicare benefits to University Foot And Ankle Institute A Podiatric Surgical Center (Sherman Oaks, CA). The 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 Raffi Khechoumian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Raffi Khechoumian was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.