DR. LEO POLOSAJIAN M.D.
NPI 1174664783
Internal Medicine - Clinical Cardiac Electrophysiology in Reseda, CA

Active since February 08, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2159595 · Waiver
83.67/100
CMS Quality Rating
7640 TAMPA AVE STE 101, RESEDA, CA 91335(818) 718-1600(818) 343-1612 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2020, Nov 25, 2015 (2 updates tracked since 2015).

About Dr. Leo Polosajian M.d. NPPES

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

DR. LEO POLOSAJIAN M.D. (NPI 1174664783) is an individual clinical cardiac electrophysiology provider in Reseda, California, licensed in California (A81080) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 19, 2026, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1174664783
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. LEO POLOSAJIANCredential: M.D.
Location Address7640 TAMPA AVE STE 101Reseda, CA 91335-1713
Mailing Address4930 Balboa Blvd, No 261278Encino, CA 91426-7062 · (818) 718-1600 · Fax (818) 718-1920
Fax(818) 343-1612
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 8, 2007
Last NPPES UpdateSeptember 25, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2020
NPI 1174664783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in CA · A81080
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal MedicineTaxonomy 207R00000X · License A81080 (CA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License A81080 (CA)
7640 TAMPA AVE STE 101, Reseda, CA 91335

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Leo Polosajian M.d. 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.

PECOS PAC ID9436050580
PECOS Enrollment IDI20070829000769
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2159595

Leo Polosajian,md · Reseda, CA
Active · expires Dec 19, 2026
CLIA Number05D2159595
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorLeo Polosajian
Laboratory Phone(818) 718-1600
Laboratory LocationLeo Polosajian,md7640 Tampa Ave Suite 101, Reseda, CA 91335
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 144

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
6,438 services872 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
2,389 services1,045 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
2,339 services1,127 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
1,982 services264 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,071 services289 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
1,025 services243 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.23
Improvement Activities40
Cost25.27

Reported Quality Measures

Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy
100%467 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers57 claims57 services$32.17 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers35 claims35 services$71.81 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers37 claims89 services$28.79 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers38 claims220 services$15.46 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers16 claims83 services$11.70 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers45 claims45 services$44.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Medical Specialty)
7640 TAMPA AVE STE 101
RESEDA, CA 91335
Physician Assistant (Medical)
7640 TAMPA AVE STE 101
RESEDA, CA 91335
Internal Medicine (Clinical Cardiac Electrophysiology)
7640 TAMPA AVE STE 101
RESEDA, CA 91335

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 Leo Polosajian's NPI number?

The NPI number for Leo Polosajian is 1174664783. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Leo Polosajian located?

Leo Polosajian practices at 7640 Tampa Ave Ste 101, Reseda, CA 91335. The listed phone number is (818) 718-1600.

What is Leo Polosajian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Leo Polosajian enrolled in Medicare?

Yes. Leo Polosajian 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.

Does Leo Polosajian hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2159595) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Leo Polosajian was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.