DR. MICHAEL PETER KOUMJIAN MD
NPI 1366403321
Thoracic Surgery (Cardiothoracic Vascular Surgery) in La Mesa, CA

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment
5525 GROSSMONT CENTER DR, STE 609, LA MESA, CA 91942(619) 466-5700(619) 460-8975 Get Directions Write a Review

NPPES record last updated: February 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael Peter Koumjian Md NPPES

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

DR. MICHAEL PETER KOUMJIAN MD (NPI 1366403321) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in La Mesa, California, licensed in California (G37886) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1977).

NPPES Registry Identity

NPI1366403321
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. MICHAEL PETER KOUMJIANCredential: MD
Location Address5525 GROSSMONT CENTER DR, STE 609La Mesa, CA 91942
Mailing Address5525 Grossmont Center Dr Ste 609La Mesa, CA 91942-3009 · (619) 466-5700 · Fax (619) 460-8975
Fax(619) 460-8975
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1977
Enumeration DateMarch 30, 2006
Last NPPES UpdateFebruary 2, 2018
✔ NPI 1366403321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in CA · G37886
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
5525 GROSSMONT CENTER DR, La Mesa, CA 91942

Other Identifiers 1

MedicaidGR0066270CA

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

Dr. Michael Peter Koumjian 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 ID1153337035
PECOS Enrollment IDI20060301000763
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 Reassignments

5

Medicare enrollment records show Michael Koumjian reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
5525 GROSSMONT CENTER DR STE 609
La Mesa, CA 91942
  • Reassigned Medicare billing, California enrollment
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
Family Medicine
501 WASHINGTON ST, SUITE 525/600
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,598 clinicians in this Medicare group
Specialist
4077 FIFTH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group
Multi-Specialty
938 N CHERRY ST
Tulare, CA 93274
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1790795458 (California)
  • 184 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.

Areas of Expertise CMS Part B claims 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
266 services53 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
207 services85 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.
132 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
117 services102 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
39 services36 patients
Insertion of tube in left heart chambers for diagnosis with review by radiologist 93452
This procedure involves placing a small tube into the left chambers of your heart. It helps doctors diagnose heart conditions by providing clear images. A radiologist, a doctor specializing in medical imaging, reviews these images for accurate diagnosis.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Family Medicine
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Pharmacy (Community/Retail Pharmacy)
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Physical Medicine & Rehabilitation
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Pediatrics
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Pharmacist
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Physician Assistant
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Pediatrics
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Pediatrics
5525 GROSSMONT CENTER DR
LA MESA, CA 91942

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 Michael Koumjian's NPI number?

The NPI number for Michael Koumjian is 1366403321. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Michael Koumjian located?

Michael Koumjian practices at 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942. The listed phone number is (619) 466-5700.

What is Michael Koumjian's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Michael Koumjian enrolled in Medicare?

Yes. Michael Koumjian 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 Michael Koumjian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Koumjian reassigns Medicare benefits to 5 organizations: Michael P. Koumjian, MD, A Professional Corporation (La Mesa, CA), Emergency And Acute Care Medical Corporation (San Diego, CA), Scripps Health (San Diego, CA), On Call Specialists Medical Group Of San Diego, Inc. (San Diego, CA) and Kaweah Delta Health Care District (Tulare, 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 Michael Koumjian'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 Michael Koumjian was last updated on February 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.