DR. ANI MNATSAKANIAN (DO) – Otolaryngology Physician, NPI 1134743206
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,365 OTOLARYNGOLOGY in CA
Provider Addresses for DR. ANI MNATSAKANIAN (DO)
800 FAIRMOUNT AVE STE 411
PASADENA, CA 911053155
Phone: (323) 306-9632
Type: Location
14650 AVIATION BLVD STE 200
HAWTHORNE, CA 902506670
Phone: (323) 306-9632
Type: Mailing
1577 E Chevy Chase Dr Ste 330
Glendale, CA 912064743
Phone: (323) 306-9632
Type: Location
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 480713487
Phone: (513) 560-0997
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,587.
Total Amount is formed as General ($1,587) + Research ($0) + Ownership ($0) = $1,587.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($393).
Total Amount
$1,587
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,587
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $393 |
| Stryker Corporation | $263 |
| Integra LifeSciences Corporation | $150 |
| Acclarent, Inc | $148 |
| Sanara MedTech Inc. | $128 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-23
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250723004684 | I | Otolaryngology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | CA | |
| Physician Assistant | CA | |
| O T O L A R Y N G O L O G Y | GA | |
| Otolaryngology, Plastic And Reconstructive Surgery | IL | |
| Physician Assistant | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| Sleep Medicine, Family Practice | CA | |
| O T O L A R Y N G O L O G Y | PA | |
| O T O L A R Y N G O L O G Y | CA |
Reviews
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