DR. MICHAEL PETER KOUMJIAN MD NPI 1366403321

NPI Information

  • NPI: 1366403321
  • Provider Name: DR. MICHAEL PETER KOUMJIAN, MD
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5525 GROSSMONT CENTER DR
    STE 609
    LA MESA, CA
    ZIP 91942
  • Phone: (619) 466-5700

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NPI Details

DR. Michael Peter Koumjian, MD is a thoracic surgery cardiothoracic vascular surgery in La Mesa, CA with 49 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Michael Peter Koumjian, MD NPI is 1366403321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:1977

The provider's business location address is:

5525 GROSSMONT CENTER DR
STE 609
LA MESA, CA
ZIP 91942
Phone: (619) 466-5700
Fax: (619) 460-8975

The NPI 1366403321 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Review by radiologist of chest aorta image (HCPCS:75600)
  • Interpretation and report of ultrasound of heart (HCPCS:93314)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ct scan of heart structure with contrast (HCPCS:75572)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound scan of chest (HCPCS:76604)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Review by radiologist of chest aorta image (HCPCS:75600)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 3/30/2006 and was last updated on 2/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)G37886CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0066270MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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