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DR. NOUBAR VARDERESSIAN DPM
NPI 1790218550
Podiatrist - Foot & Ankle Surgery in Glendale, CA

Active since April 09, 2017PECOS EnrolledAccepts Medicare Assignment
1122 N COLUMBUS AVE, APT. 2, GLENDALE, CA 91202(818) 606-6740 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2023, May 13, 2020 (2 updates tracked since 2020).

About Dr. Noubar Varderessian Dpm NPPES

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

DR. NOUBAR VARDERESSIAN DPM (NPI 1790218550) is an individual foot & ankle surgery provider in Glendale, California, licensed in Pennsylvania (SC006823) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2017).

NPPES Registry Identity

NPI1790218550
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. NOUBAR VARDERESSIANCredential: DPM
Location Address1122 N COLUMBUS AVE, APT. 2Glendale, CA 91202-3241
Mailing Address1122 N Columbus Ave, Apt. 2Glendale, CA 91202-3241 · (818) 606-6740
Phone(818) 606-6740
Sole ProprietorNo
Medical School CMSWestern Un Of Hlth Sciences, Col Of Podiatric MedGraduated 2017
Enumeration DateApril 9, 2017
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1790218550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in PA · SC006823
1122 N COLUMBUS AVE, Glendale, CA 91202
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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 and accepts Medicare assignment

Dr. Noubar Varderessian Dpm 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 ID143642918
PECOS Enrollment IDI20201013003571
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.

Areas of Expertise CMS Part B claims 11

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
416 services158 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.
213 services126 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
150 services67 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
107 services50 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
60 services33 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.
56 services43 patients

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 Noubar Varderessian's NPI number?

The NPI number for Noubar Varderessian is 1790218550. It was assigned to this individual provider in the NPPES registry on April 9, 2017.

Where is Noubar Varderessian located?

Noubar Varderessian practices at 1122 N Columbus Ave Apt. 2, Glendale, CA 91202. The listed phone number is (818) 606-6740.

What is Noubar Varderessian's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Noubar Varderessian enrolled in Medicare?

Yes. Noubar Varderessian 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.

When was this NPI record last updated?

The NPPES record for Noubar Varderessian was last updated on June 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.