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

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: October 25, 2026.

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

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.

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
Sole ProprietorNo
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Shant Aghadjanian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
505 MONTGOMERY ST, FL 10 & 11
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 407 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.

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
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Student in an Organized Health Care Education/Training Program
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Counselor
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Pediatrics
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Student in an Organized Health Care Education/Training Program
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Dentist
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Counselor (Mental Health)
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Family Medicine
1102 BARCLAY ST
SAN ANTONIO, TX 78207

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 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.

Where is Shant Aghadjanian located?

Shant Aghadjanian practices at 1102 Barclay St, San Antonio, TX 78207. The listed phone number is (210) 233-7000.

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.

Is Shant Aghadjanian enrolled in Medicare?

Yes. Shant Aghadjanian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shant Aghadjanian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shant Aghadjanian reassigns Medicare benefits to Signify Health Medical Associates Of California, PC (San Francisco, 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 Shant Aghadjanian'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 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 17 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.