MICHAEL KHANJYAN – Diagnostic Radiology Physician, NPI 1205323219
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for MICHAEL KHANJYAN
5555 GROSSMONT CENTER DR
LA MESA, CA 919423019
Phone: (619) 740-4005
Type: Location
7777 ALVARADO RD STE 108
LA MESA, CA 919428245
Phone: (619) 460-2770
Type: Mailing
937, Clayton Street, Cole Valley, San Francisco, California, 94117, United States
SAN FRANCISCO, CA 941174425
Phone: (818) 212-3193
Type: Mailing
Kaiser Permanente Medical Center, 2425, Geary Boulevard, Western Addition, San Francisco, California, 94115, United States
SAN FRANCISCO, CA 941153358
Phone: (415) 833-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Sirtex Medical Inc ($137).
Total Amount
$172
General + Research + Ownership
Payments
3
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sirtex Medical Inc | $137 |
| CARDIVA MEDICAL, INC. | $20 |
| AngioDynamics, Inc. | $15 |
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: 2024-04-24
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20240424001276 | I | Diagnostic Radiology | 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 91942)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | AR | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | GA | |
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology, Interventional Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | PA |
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