DR. SHAHIN DERBOGHOSSIANS MD
NPI 1710915038
Urology in Glendale, CA

Q: 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.

Q: What is Shahin Derboghossians's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since June 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0929473 · Waiver

0/100

CMS Quality Rating

116 S LOUISE ST, GLENDALE, CA 91205(818) 507-4340(818) 507-4308 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 17, 2022, Oct 24, 2019 (2 updates tracked since 2019).

On this page

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

NPI1710915038

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. SHAHIN DERBOGHOSSIANSCredential: MD

Location Address116 S LOUISE STGlendale, CA 91205

Mailing Address116 S Louise StGlendale, CA 91205-1025 · (818) 507-4340 · Fax (818) 507-4308

Phone(818) 507-4340

Fax(818) 507-4308

Sole ProprietorYes

Medical School CMSOtherGraduated 1974

Enumeration DateJune 28, 2006

Last NPPES UpdateJanuary 17, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2022

✔ NPI 1710915038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A42661

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

116 S LOUISE ST, Glendale, CA 91205

Open in Google Maps ↗

Other Identifiers 1

Medicaid00A426610CA

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

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.

PECOS PAC ID6507025418

PECOS Enrollment IDI20120314000072

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

Shahin Derboghossians MD Inc

0.8 mi

Urology

1030 S GLENDALE, 301
Glendale, CA 91205

Reassigned Medicare billing, California enrollment

NPI 1811207483 (818) 507-4340

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

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, CA

Active · expires Jun 12, 2027

CLIA Number05D0929473

Laboratory TypePhysician Office

Certificate Effective DateJune 13, 2025

Certificate Expiration DateJune 12, 2027

Laboratory DirectorShahen Boghosian MD

Laboratory Phone(818) 507-4340

Laboratory LocationShahen Boghosian MD116 S Louise St, Glendale, CA 91205

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas 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.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

331 services291 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

329 services322 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

316 services43 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

282 services282 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

278 services225 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.

277 services238 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

260 services260 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

173 services173 patients

Complete ultrasound of penis artery and vein blood flow 93980

This procedure involves using sound waves to create images of your blood vessels. It helps to assess the circulation in the area, identify any blockages or abnormalities, and ensure that blood is flowing properly for optimal health.

173 services173 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

128 services64 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

125 services125 patients

Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope 52214

This procedure involves the use of a special tool called an endoscope to remove or destroy abnormal tissue in the bladder or urethra. It's done to treat certain conditions and improve your health.

115 services114 patients

Test or measurement for functional capacity, each 15 minutes 97750

This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.

115 services57 patients

Biofeedback training for bowel or bladder control, initial 15 minutes 90912

Biofeedback training helps manage bowel or bladder control issues. It involves using sensors to monitor specific body functions. The first 15-minute session allows you to understand and control these functions to improve health and performance.

113 services57 patients

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.

99 services95 patients

Dilation of urethra using an endoscope 52281

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

90 services90 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

77 services67 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

76 services76 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

76 services43 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

62 services62 patients

Ultrasound scan of scrotum 76870

An ultrasound scan of the scrotum is a non-invasive imaging test. It uses sound waves to create pictures of the structures within the lower abdominal area. This helps to assess any discomfort or abnormalities you might be experiencing. The procedure is safe and painless.

52 services51 patients

Initial dilation of urethra in male using dilator 53600

This procedure involves gently expanding a narrow tube in your body, known as the urethra, using a special tool called a dilator. It's done to improve the flow of fluid and can help with certain health issues.

49 services38 patients

Destruction of prostate tissue using microwave induced heat 53850

This procedure involves the use of safe microwave energy to generate heat, which is then applied to a specific part of the body to eliminate unwanted tissue. It's a non-invasive method often employed to address certain health issues.

39 services39 patients

Incision of urethra in male using an endoscope 52275

This is a procedure where a small camera (endoscope) is used to guide a minor cut in the urinary passage in males. It helps to alleviate blockages or strictures, improving the flow of urine and overall urinary health.

38 services38 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

24 services23 patients

Limited ultrasound scan of pelvis 76857

A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.

17 services17 patients

Injection procedure to cause erection 54235

This procedure involves administering a medication into your body to stimulate blood flow. It's designed to aid specific physical responses, similar to how adrenaline can increase heart rate. The medication is introduced via a small needle, and the effects typically occur shortly after.

14 services14 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

13 services13 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

12 services12 patients

Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm 52224

This procedure involves using a special instrument called an endoscope to remove a small growth in your bladder and urethra. It's a minimally invasive procedure and the growth being treated is less than half a centimeter in size.

11 services11 patients

Crushing, fragmenting, and removal of bladder stones, less than 2.5 cm 52317

This procedure involves breaking down and removing small stones found in your bladder. The stones are first crushed into smaller pieces, then removed to help alleviate discomfort and prevent further complications.

11 services11 patients

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.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

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.

DR. ARMEN DERBOGHOSSIANS M.D

Urology

116 S LOUISE ST
GLENDALE, CA 91205

Los Angeles County (818) 507-4340

ARMEN DERBOGHOSSIANS, MD INC

Urology

116 S LOUISE ST
GLENDALE, CA 91205

Los Angeles County (818) 507-4228

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.

Which organization bills Medicare for Shahin Derboghossians's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shahin Derboghossians reassigns Medicare benefits to Shahin Derboghossians MD Inc (Glendale, 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 Shahin Derboghossians's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.

About Dr. Shahin Derboghossians Md NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 1

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Medicare Billing Reassignment

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 05D0929473

Areas of Expertise CMS Part B claims 32

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Other Providers at the Same Location NPPES 2

Frequently Asked Questions NPPES & CMS

What is Shahin Derboghossians's NPI number?

Where is Shahin Derboghossians located?

What is Shahin Derboghossians's specialty?

Is Shahin Derboghossians enrolled in Medicare?

Which organization bills Medicare for Shahin Derboghossians's services?

Does Shahin Derboghossians hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Waiver 05D0929473