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SHAHIN DERBOGHOSSIANS MD INC
NPI 1811207483
Urology in Glendale, CA

Active since October 18, 2010
1030 S GLENDALE, 301, GLENDALE, CA 91205(818) 507-4340(818) 507-4348 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shahin Derboghossians Md Inc NPPES

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

SHAHIN DERBOGHOSSIANS MD INC (NPI 1811207483) is a healthcare organization registered as an urology in Glendale, California and active in the NPI registry since October 2010. The organization lists Shahin Derboghossians, Md, as its authorized official.

NPPES Registry Identity

NPI1811207483
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSHAHIN DERBOGHOSSIANS MD INC
Location Address1030 S GLENDALE, 301Glendale, CA 91205
Mailing Address1030 S Glendale, 301Glendale, CA 91205 · (818) 507-4340 · Fax (818) 507-4348
Phone(818) 507-4340
Fax(818) 507-4348
Organization SubpartNo
Authorized OfficialShahin DerboghossiansMd · (818) 507-4340
Enumeration DateOctober 18, 2010
✔ NPI 1811207483 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.
1030 S GLENDALE, Glendale, CA 91205
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Other Identifiers 3

OtherA42661Medical License
Medicaid00A426610CA
Medicare PIN1710915038

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shahin Derboghossians Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120313000637Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shahin Derboghossians MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shahin Derboghossians, MD
Urology
NPI 1710915038
116 S LOUISE ST
Glendale, CA 91205
(818) 507-4340
✔ PECOS✔ Accepts Medicare0.8 mi

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 Shahin Derboghossians MD Inc's NPI number?

The NPI number for Shahin Derboghossians MD Inc is 1811207483. It was assigned to this organization in the NPPES registry on October 18, 2010.

Where is Shahin Derboghossians MD Inc located?

Shahin Derboghossians MD Inc is located at 1030 S Glendale 301, Glendale, CA 91205. The listed phone number is (818) 507-4340.

What is Shahin Derboghossians MD Inc's specialty?

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

Is Shahin Derboghossians MD Inc enrolled in Medicare?

Yes. Shahin Derboghossians MD Inc is registered in the Medicare PECOS enrollment system.

When is Shahin Derboghossians MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Shahin Derboghossians MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Shahin Derboghossians MD Inc. 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 Shahin Derboghossians MD Inc was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.