DR. SHANT AGHADJANIAN DO
NPI 1679275622
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Q: What is Shant Aghadjanian's NPI number?

The NPI number for Shant Aghadjanian is 1679275622. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Shant Aghadjanian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shant Aghadjanian was last updated on May 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 March 21, 2023PECOS Enrolled

1102 BARCLAY ST, SAN ANTONIO, TX 78207(210) 233-7000 Get Directions Write a Review

NPPES record last updated: May 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2025, Feb 5, 2025, Mar 21, 2023 (3 updates tracked since 2023).

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About Dr. Shant Aghadjanian Do NPPES

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

DR. SHANT AGHADJANIAN DO (NPI 1679275622) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679275622

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SHANT AGHADJANIANCredential: DO

Location Address1102 BARCLAY STSan Antonio, TX 78207-7161

Mailing Address1102 Barclay StSan Antonio, TX 78207-7161 · (210) 233-7000

Phone(210) 233-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 21, 2023

Last NPPES UpdateMay 18, 20253 updates tracked since enumeration

NPPES CertifiedMay 18, 2025

✔ NPI 1679275622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 20A23344 (CA)

1102 BARCLAY ST, San Antonio, TX 78207

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shant Aghadjanian Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709230394

PECOS Enrollment IDI20250909001856

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.

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.

JOSIAH HORNE DO

Family Medicine