DR. SHAHIN DERBOGHOSSIANS MD
NPI 1710915038
Urology in Glendale, CA
About Dr. Shahin Derboghossians Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAHIN DERBOGHOSSIANS MD (NPI 1710915038) is an individual urology provider in Glendale, California, licensed in California (A42661) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 12, 2027, and is a graduate of Other (1974).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shahin Derboghossians 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0929473
Shahen Boghosian MD · Glendale, CAAreas of Expertise CMS Part B claims 32
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shahin Derboghossians's NPI number?
The NPI number for Shahin Derboghossians is 1710915038. It was assigned to this individual provider in the NPPES registry on June 28, 2006.
Where is Shahin Derboghossians located?
Shahin Derboghossians practices at 116 S Louise St, Glendale, CA 91205. The listed phone number is (818) 507-4340.
What is Shahin Derboghossians's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Shahin Derboghossians enrolled in Medicare?
Yes. Shahin Derboghossians 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.
Does Shahin Derboghossians hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0929473) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Shahin Derboghossians was last updated on January 17, 2022. 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.