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STAR UROLOGY INCORPORATED
NPI 1801113824
Urology in Glendale, CA

Active since April 29, 2010
1577 E CHEVY CHASE DR STE 100, GLENDALE, CA 91206(818) 246-3300(818) 246-3305 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2022, Dec 28, 2016 (2 updates tracked since 2016).

About Star Urology Incorporated NPPES

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

STAR UROLOGY INCORPORATED (NPI 1801113824) is a healthcare organization registered as an urology in Glendale, California and active in the NPI registry since April 2010. The organization lists Kamayar Ebrahimi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801113824
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSTAR UROLOGY INCORPORATED
Location Address1577 E CHEVY CHASE DR STE 100Glendale, CA 91206-4192
Mailing Address1577 E Chevy Chase Dr Ste 100Glendale, CA 91206-4192 · (818) 246-3300 · Fax (818) 246-3305
Phone(818) 246-3300
Fax(818) 246-3305
Organization SubpartNo
Authorized OfficialKamayar EbrahimiCeo · (818) 246-3300
Enumeration DateApril 29, 2010
Last NPPES UpdateJune 8, 20222 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1801113824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A91899
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.
1577 E CHEVY CHASE DR STE 100, Glendale, CA 91206
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Star Urology Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Star Urology Incorporated, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kamyar Ebrahimi, M.D.
Urology
NPI 1821266008
1577 E CHEVY CHASE DR STE 100
Glendale, CA 91206
(818) 246-3300
✔ PECOS✔ Accepts MedicareSame address

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

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 Star Urology Incorporated's NPI number?

The NPI number for Star Urology Incorporated is 1801113824. It was assigned to this organization in the NPPES registry on April 29, 2010.

Where is Star Urology Incorporated located?

Star Urology Incorporated is located at 1577 E Chevy Chase Dr Ste 100, Glendale, CA 91206. The listed phone number is (818) 246-3300.

What is Star Urology Incorporated's specialty?

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

Is Star Urology Incorporated enrolled in Medicare?

Yes. Star Urology Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Star Urology Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Star Urology Incorporated. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Star Urology Incorporated was last updated on June 8, 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.