DR. KONSTANTIN VLADIMIR GRIGORYAN M.D.
NPI 1881076313
Dermatology - MOHS-Micrographic Surgery in Roseville, CA

Q: What is Konstantin Grigoryan's NPI number?

The NPI number for Konstantin Grigoryan is 1881076313. It was assigned to this individual provider in the NPPES registry on June 21, 2015.

Q: What is Konstantin Grigoryan's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since June 21, 2015PECOS EnrolledAccepts Medicare Assignment

2261 DOUGLAS BLVD, ROSEVILLE, CA 95661(916) 791-0920(916) 797-4767 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2022, Dec 22, 2017 (2 updates tracked since 2017).

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About Dr. Konstantin Vladimir Grigoryan M.d. NPPES

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

DR. KONSTANTIN VLADIMIR GRIGORYAN M.D. (NPI 1881076313) is an individual mohs-micrographic surgery provider in Roseville, California, licensed in California (A169957) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1881076313

Entity TypeIndividualMale

Primary Taxonomy207ND0101X

Provider Legal NameDR. KONSTANTIN VLADIMIR GRIGORYANCredential: M.D.

Location Address2261 DOUGLAS BLVDRoseville, CA 95661-3831

Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769

Phone(916) 791-0920

Fax(916) 797-4767

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 21, 2015

Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2025

✔ NPI 1881076313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in CA · A169957

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X · License 60753 (MN)

2261 DOUGLAS BLVD, Roseville, CA 95661

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Secondary Practice Locations 2

Location 1330 Brookline AveBoston, MA 02215-5400 · Phone (617) 667-7000

Location 210535 Hospital WayMather, CA 95655-4200 · Phone (916) 843-7000

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. Konstantin Vladimir Grigoryan 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 ID345533881

PECOS Enrollment IDI20250925004024

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY PATRICIA LIST MD

Dermatology