HRACH KHUDATYAN M.D.
NPI 1720050032
Family Medicine in Glendale, CA

Active since February 02, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0968882 · Waiver
75.2/100
CMS Quality Rating
134 N GLENDALE AVE, GLENDALE, CA 91206(818) 662-8858(818) 662-8987 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hrach Khudatyan M.d. NPPES

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

HRACH KHUDATYAN M.D. (NPI 1720050032) is an individual family medicine provider in Glendale, California, licensed in California (A60871) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 26, 2027, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (1995).

NPPES Registry Identity

NPI1720050032
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHRACH KHUDATYANCredential: M.D.
Location Address134 N GLENDALE AVEGlendale, CA 91206-4451
Mailing Address134 N Glendale AveGlendale, CA 91206-4451 · (818) 662-8858 · Fax (818) 662-8987
Fax(818) 662-8987
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 1995
Enumeration DateFebruary 2, 2006
Last NPPES UpdateSeptember 15, 2014
NPI 1720050032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A60871
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
134 N GLENDALE AVE, Glendale, CA 91206

Other Identifiers 3

Medicaid00A608711CA
Medicare UPING64909CA
Medicare ID-Type UnspecifiedA60871CA

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

Hrach Khudatyan M.d. 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 ID4284700055
PECOS Enrollment IDI20101006000859
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.

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 05D0968882

Hrach Khudatyan MD · Glendale, CA
Active · expires Dec 26, 2027
CLIA Number05D0968882
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorHrach Khudatyan MD
Laboratory Phone(818) 662-8858
Laboratory LocationHrach Khudatyan MD134 N Glendale Ave, Glendale, CA 91206
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 36

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.

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.
6,860 services358 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,885 services124 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
1,418 services241 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
1,134 services238 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.
930 services304 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.
507 services219 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91206 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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.

75.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.25
Improvement Activities40
Cost34.59

Reported Quality Measures

Breast Cancer Screening
5%20 patients1/55-star benchmark: 93%
Controlling High Blood Pressure
88%52 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,795 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
29%51 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 29% · 86 patients
29%86 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 79 patients
Patients totalRate: 4% · 79 patients
4%79 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers111 claims219 services$5.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers92 claims106 services$0.94 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers29 claims58 services$61.26 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
3 suppliers29 claims174 services$24.62 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers86 claims86 services$11.49 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers20 claims20 services$2.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (Dental)
134 N GLENDALE AVE
GLENDALE, CA 91206
Clinic/Center (Primary Care)
134 N GLENDALE AVE
GLENDALE, CA 91206

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 Hrach Khudatyan's NPI number?

The NPI number for Hrach Khudatyan is 1720050032. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Hrach Khudatyan located?

Hrach Khudatyan practices at 134 N Glendale Ave, Glendale, CA 91206. The listed phone number is (818) 662-8858.

What is Hrach Khudatyan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hrach Khudatyan enrolled in Medicare?

Yes. Hrach Khudatyan 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 Hrach Khudatyan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0968882) is associated with this NPI, valid through December 26, 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 Hrach Khudatyan was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.