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JAMES KELLER WORTHAM MD
NPI 1528114410
General Practice in Glendale, CA

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
1030 S GLENDALE AVE, SUITE 503, GLENDALE, CA 91205(818) 547-5400(818) 547-3380 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James Keller Wortham Md NPPES

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

JAMES KELLER WORTHAM MD (NPI 1528114410) is an individual general practice provider in Glendale, California, licensed in California (A88510) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in La Canada, and is a graduate of Georgetown University School Of Medicine (2003).

NPPES Registry Identity

NPI1528114410
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJAMES KELLER WORTHAMCredential: MD
Location Address1030 S GLENDALE AVE, SUITE 503Glendale, CA 91205-5612
Mailing Address1725 Monterey BlvdHermosa Beach, CA 90254-2905 · (213) 700-8488
Phone(818) 547-5400
Fax(818) 547-3380
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 2003
Enumeration DateJanuary 25, 2007
Last NPPES UpdateNovember 12, 2021
NPPES CertifiedNovember 12, 2021
✔ NPI 1528114410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A88510
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X · License A88510 (CA)
1030 S GLENDALE AVE, Glendale, CA 91205
Open in Google Maps ↗

Secondary Practice Location 1

Location 12258 Foothill Blvd Ste 200LA Canada, CA 91011-1472 · Phone (818) 248-8998

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

James Keller Wortham 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 ID1557445822
PECOS Enrollment IDI20210308001691
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 James Wortham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optimum Medical Group North
5.9 mi
Family Medicine
2258 FOOTHILL BLVD STE 200
La Canada, CA 91011
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1194498873 (954) 675-3257

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 7

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
122 services90 patients
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.
106 services82 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.
90 services90 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.
72 services72 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
30 services27 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.
13 services12 patients

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.

OPTIMUM HEALTH ASSOCIATES, INV.
Family Medicine
1030 S GLENDALE AVE, SUITE 503
GLENDALE, CA 91205
Los Angeles County (818) 547-5400
NIRUPA VIGNARAJAN M.D.
Internal Medicine
1030 S GLENDALE AVE, SUITE 309
GLENDALE, CA 91205
Los Angeles County (818) 553-6666
RICARDO AGUSTIN MORELLI D.C.
Chiropractor
1030 S GLENDALE AVE, SUITE 307
GLENDALE, CA 91205
Los Angeles County (818) 507-5253
DR. ZAVEN KHATCHATURIAN DMD
Dentist
1030 S GLENDALE AVE, STE 501
GLENDALE, CA 91205
Los Angeles County (818) 500-8989
FOOT AND ANKLE WELLNESS CLINIC
Podiatrist (Foot Surgery)
1030 S GLENDALE AVE, SUITE 504
GLENDALE, CA 91205
Los Angeles County (818) 240-7673
NICK DZEBOLO MD INC
Radiology (Diagnostic Radiology)
1030 S GLENDALE AVE, SUITE 200
GLENDALE, CA 91205
Los Angeles County (818) 241-5072
VARDUI ARUTYUNYAN-MD INC
Clinic/Center (Primary Care)
1030 S GLENDALE AVE, 309
GLENDALE, CA 91205
Los Angeles County (818) 553-1020
DR. ARMOND SARKISIAN DDS
Dentist
1030 S GLENDALE AVE, SUITE 501
GLENDALE, CA 91205
Los Angeles County (818) 748-5626

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 James Wortham's NPI number?

The NPI number for James Wortham is 1528114410. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is James Wortham located?

James Wortham practices at 1030 S Glendale Ave Suite 503, Glendale, CA 91205. The listed phone number is (818) 547-5400.

What is James Wortham's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is James Wortham enrolled in Medicare?

Yes. James Wortham 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 organization bills Medicare for James Wortham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Wortham reassigns Medicare benefits to Optimum Medical Group North (La Canada, 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 James Wortham'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 James Wortham was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.