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BANIPAL HOVHANESSIAN MD
NPI 1639120371
Specialist in Kokomo, IN

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
2220 W ALTO RD, KOKOMO, IN 46902(765) 455-2577(765) 455-0214 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Banipal Hovhanessian Md NPPES

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

BANIPAL HOVHANESSIAN MD (NPI 1639120371) is an individual specialist in Kokomo, Indiana and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1639120371
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameBANIPAL HOVHANESSIANCredential: MD
Location Address2220 W ALTO RDKokomo, IN 46902-4840
Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2805
Phone(765) 455-2577
Fax(765) 455-0214
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateMay 15, 2006
Last NPPES UpdateDecember 22, 2021
✔ NPI 1639120371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
2220 W ALTO RD, Kokomo, IN 46902
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Other Identifiers 2

Medicaid100137220AIN
OtherP01270971IN · Rr Medicare

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

Banipal Hovhanessian 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 ID143387001
PECOS Enrollment IDI20211201001662
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 Banipal Hovhanessian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
1,880 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC
Otolaryngology (Plastic Surgery within the Head & Neck)
2220 W ALTO RD
KOKOMO, IN 46902
Howard County (765) 455-2577

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 Banipal Hovhanessian's NPI number?

The NPI number for Banipal Hovhanessian is 1639120371. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Banipal Hovhanessian located?

Banipal Hovhanessian practices at 2220 W Alto Rd, Kokomo, IN 46902. The listed phone number is (765) 455-2577.

What is Banipal Hovhanessian's specialty?

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

Is Banipal Hovhanessian enrolled in Medicare?

Yes. Banipal Hovhanessian 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 Banipal Hovhanessian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Banipal Hovhanessian reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Banipal Hovhanessian'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 Banipal Hovhanessian was last updated on December 22, 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.