HAKOB GRIGOR DAVTYAN M.D.
NPI 1437180676
Specialist in San Bernardino, CA

Q: What is Hakob Davtyan's NPI number?

The NPI number for Hakob Davtyan is 1437180676. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Hakob Davtyan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Hakob Davtyan was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

401 E HIGHLAND AVE, SUITE 251, SAN BERNARDINO, CA 92404(909) 881-1614(909) 881-2711 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Hakob Grigor Davtyan M.d. NPPES

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

HAKOB GRIGOR DAVTYAN M.D. (NPI 1437180676) is an individual specialist in San Bernardino, California, licensed in California (G54367) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Un Of California, Irvine, College Of Medicine (1983).

NPPES Registry Identity

NPI1437180676

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameHAKOB GRIGOR DAVTYANCredential: M.D.

Location Address401 E HIGHLAND AVE, SUITE 251San Bernardino, CA 92404-3803

Mailing Address401 E Highland Ave, Suite 251San Bernardino, CA 92404-3803 · (909) 881-1614 · Fax (909) 881-2711

Phone(909) 881-1614

Fax(909) 881-2711

Sole ProprietorNo

Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1983

Enumeration DateJuly 5, 2006

Last NPPES UpdateJuly 12, 2016

✔ NPI 1437180676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G54367

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 031902 (GA)

401 E HIGHLAND AVE, San Bernardino, CA 92404

Open in Google Maps ↗

Other Identifiers 6

Other00G543671Medicare Individual Ptan

OtherZZZ07161ZMedicare Group Ptan

Medicaid00G543670CA

OtherG54367CA · License

Medicare UPINF26969CA

Other031902GA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Hakob Grigor Davtyan 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 ID7719968189

PECOS Enrollment IDI20161103001127

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

Medicare enrollment records show Hakob Davtyan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tanner Medical Group Inc

1,844 mi

Cardiovascular Disease

100 GREENWAY BLVD FL 2
Carrollton, GA 30117

Reassigned Medicare billing, Georgia enrollment
232 clinicians in this Medicare group

NPI 1396979787 (770) 838-8710

The Emory Clinic Inc

1,885 mi

Internal Medicine

1365 CLIFTON RD NE
Atlanta, GA 30322

Reassigned Medicare billing, Georgia enrollment
4,840 clinicians in this Medicare group

NPI 1396798229 (404) 778-2144

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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

19 services19 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

18 services18 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

18 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Ultrasonic guidance during surgery 76998

Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110011

Location705 Dixie StreetCarrollton, GA 30117 · Carroll County

Birthing friendly

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.

92.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

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.

T WILLIAM HILL MD INC

Neurological Surgery

401 E HIGHLAND AVE, SUITE 551
SAN BERNARDINO, CA 92404

San Bernardino County (909) 882-1759

INLAND CARDIOTHORACIC SURGICAL ASSOCIATES MEDICAL GROUP INC

Specialist

401 E HIGHLAND AVE, SUITE 251
SAN BERNARDINO, CA 92404

San Bernardino County (909) 881-1614

JULIA ESPERANZA GARCIA

Physician Assistant

401 E HIGHLAND AVE
SAN BERNARDINO, CA 92404

San Bernardino County (909) 327-3288

JONATHAN K STOBAUGH PA-C

Physician Assistant

401 E HIGHLAND AVE, SUITE 251
SAN BERNARDINO, CA 92404

San Bernardino County (909) 882-4605

WILLIAM T BOYLE PA-C

Physician Assistant

401 E HIGHLAND AVE, SUITE 251
SAN BERNARDINO, CA 92404

San Bernardino County (909) 881-1614

DEVIN REED MUDGE M.D.

Specialist

401 E HIGHLAND AVE, SUITE 251
SAN BERNARDINO, CA 92404

San Bernardino County (909) 881-1614

CHAPARRAL MEDICAL GROUP, INC.

Neurological Surgery

401 E HIGHLAND AVE, SUITE 553
SAN BERNARDINO, CA 92404

San Bernardino County (909) 881-6713

VANTAGE ONCOLOGY

Special Hospital

401 E HIGHLAND AVE, SUITE D
SAN BERNARDINO, CA 92404

San Bernardino County (909) 475-2703

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 Hakob Davtyan's NPI number?

The NPI number for Hakob Davtyan is 1437180676. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Hakob Davtyan located?

Hakob Davtyan practices at 401 E Highland Ave Suite 251, San Bernardino, CA 92404. The listed phone number is (909) 881-1614.

What is Hakob Davtyan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Hakob Davtyan enrolled in Medicare?

Yes. Hakob Davtyan 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 Hakob Davtyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hakob Davtyan reassigns Medicare benefits to 2 organizations: Tanner Medical Group Inc (Carrollton, GA) and The Emory Clinic Inc (Atlanta, GA). 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 Hakob Davtyan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hakob Davtyan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Hakob Davtyan 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.

Is Hakob Davtyan affiliated with any hospitals?

According to CMS data, Hakob Davtyan is affiliated with Tanner Medical Center - Carrollton.

When was this NPI record last updated?

The NPPES record for Hakob Davtyan was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.