MISSAK KLTCHIAN MD
NPI 1255359840
Internal Medicine in Los Angeles, CA

Active since July 18, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0921038 · Microscopy
95.45/100
CMS Quality Rating
4645 HOLLYWOOD BLVD, SUITE 4, LOS ANGELES, CA 90027(323) 661-4500(323) 661-3260 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Missak Kltchian Md NPPES

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

MISSAK KLTCHIAN MD (NPI 1255359840) is an individual internal medicine provider in Los Angeles, California, licensed in California (A52368) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through October 16, 2026, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1255359840
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMISSAK KLTCHIANCredential: MD
Location Address4645 HOLLYWOOD BLVD, SUITE 4Los Angeles, CA 90027-5455
Mailing Address4645 Hollywood Blvd, Suite 4Los Angeles, CA 90027-5455 · (323) 661-4500 · Fax (323) 661-3260
Fax(323) 661-3260
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 18, 2006
Last NPPES UpdateMay 9, 2011
NPI 1255359840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A52368
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4645 HOLLYWOOD BLVD, Los Angeles, CA 90027

Other Identifiers 3

Medicare ID-Type UnspecifiedA52368
Medicaid00A523681CA
Medicare UPINF73039

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

Missak Kltchian Md 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 ID5890874143
PECOS Enrollment IDI20100329000481
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 for Provider-Performed Microscopy Procedures (PPMP) 05D0921038

Missak Kltchian MD · Los Angeles, CA
Active · expires Oct 16, 2026
CLIA Number05D0921038
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorMissak Kltchian MD
Laboratory Phone(213) 661-4500
Laboratory LocationMissak Kltchian MD4645 Hollywood Boulevard Suite #4, Los Angeles, CA 90027
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
1,380 services248 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
985 services351 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
354 services254 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
268 services267 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.
242 services210 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
242 services242 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 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.

95.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost54.68

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
94%36 patients
Breast Cancer Screening
35%153 patients2/55-star benchmark: 93%
Cervical Cancer Screening
23%31 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
41%276 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
100%40 patients5/55-star benchmark: 91%
Dementia: Cognitive Assessment
100%22 patients
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
1%103 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%1,376 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%357 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
50%426 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
97%225 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
63%137 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 419 patients
Patients screened: 99% · 419 patients
100%49 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 368 patients
Patients totalRate: 0% · 368 patients
0%368 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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
31 suppliers417 claims825 services$5.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
27 suppliers324 claims365 services$1.01 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers39 claims78 services$61.37 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers39 claims234 services$25.04 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers42 claims42 services$14.17 avg. paid by Medicare
Home blood glucose monitor E0607
DME-Other DME · category DE017N
5 suppliers11 claims11 services$22.08 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

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

Chiropractor (Nutrition)
4645 HOLLYWOOD BLVD, SUITE 1
LOS ANGELES, CA 90027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255359840, enumerated as an "individual" on July 18, 2006.

The provider is located at 4645 HOLLYWOOD BLVD SUITE 4 LOS ANGELES, CA 90027 and the phone number is (323) 661-4500.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.