DR. SHAHIN DERBOGHOSSIANS MD NPI 1710915038

NPI Information

  • NPI: 1710915038
  • Provider Name: DR. SHAHIN DERBOGHOSSIANS, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 116 S LOUISE ST
    GLENDALE, CA
    ZIP 91205
  • Phone: (818) 507-4340

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NPI Details

DR. Shahin Derboghossians, MD is an urology in Glendale, CA with 51 years of experience. The provider is 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. DR. Shahin Derboghossians, MD NPI is 1710915038. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

116 S LOUISE ST
GLENDALE, CA
ZIP 91205
Phone: (818) 507-4340
Fax: (818) 507-4308

The NPI 1710915038 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.

  • Urinalysis, manual test (HCPCS:81002)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies (HCPCS:51729)
  • Insertion of device into abdomen with pressure and urine flow rate study (HCPCS:51797)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Complete ultrasound of penis artery and vein blood flow (HCPCS:93980)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Biofeedback training for bowel or bladder control, initial 15 minutes (HCPCS:90912)
  • Test or measurement for functional capacity, each 15 minutes (HCPCS:97750)
  • Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope (HCPCS:52214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Dilation of urethra using an endoscope (HCPCS:52281)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Destruction of prostate tissue using microwave induced heat (HCPCS:53850)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Incision of urethra in male using an endoscope (HCPCS:52275)
  • Ultrasound scan of scrotum (HCPCS:76870)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection procedure to cause erection (HCPCS:54235)
  • Initial dilation of urethra in male using dilator (HCPCS:53600)
  • Crushing, fragmenting, and removal of bladder stones, less than 2.5 cm (HCPCS:52317)

The enumeration date for this NPI number is 6/28/2006 and was last updated on 1/17/2022.

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
1208800000XUrologyA42661CALIFORNIAYes

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
100A426610MEDICAIDCALIFORNIA

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: 3/30/2025

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