DR. THOMAS ANDREW HERBOLD (MD) – Diagnostic Radiology Physician, NPI 1740358738

DR. THOMAS ANDREW HERBOLD (MD) is a healthcare provider. based in Encino, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. A72292 (CA). The NPI Number for DR. THOMAS ANDREW HERBOLD (MD) is 1740358738

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS ANDREW HERBOLD (MD)
NPI
1740358738
Phone
(818) 986-3472
Address
16661 VENTURA BLVD
Enumeration Date
30 November 2006
Last Update Date
30 March 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
6619498111
Graduation Year
1998 (28 years ago)
PAC ID
4486612298
Group Practice PAC ID
6406808427
Professional Enrollment ID
I20041227000700
Address ID
CA935344785LA43731WXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for DR. THOMAS ANDREW HERBOLD (MD)

  • 16661, Ventura Boulevard, Encino, Los Angeles, Los Angeles County, California, 91436, United States

    STE 100

    ENCINO, CA 914361922

    Phone: (818) 986-3472

    Fax: (818) 670-7789

    Type: Mailing

  • Ventura Boulevard, Encino Neighborhood Council District, Los Angeles, Los Angeles County, California, 91403, United States

    ENCINO, CA 914361922

    Phone: (818) 986-3472

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-12-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041227000700IDiagnostic RadiologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml2,69028$0
A9575Injection, gadoterate meglumine, 0.1 ml1,81119$0
A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml59650$0
72148Mri scan of lower spinal canal without contrast6868$0
70551Mri scan of brain without contrast4444$0
View full utilization report →

Insurance plans in this area (ZIP 91436)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406808427View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyMO
Diagnostic RadiologyMN
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyNY

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Frequently asked questions

Is there an official ID for DR. THOMAS ANDREW HERBOLD (MD) in U.S. healthcare records?
The official identifier for DR. THOMAS ANDREW HERBOLD (MD) is NPI 1740358738.
Would DR. THOMAS ANDREW HERBOLD (MD) appear as active to a payer?
You can treat DR. THOMAS ANDREW HERBOLD (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. THOMAS ANDREW HERBOLD (MD)?
DR. THOMAS ANDREW HERBOLD (MD)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. THOMAS ANDREW HERBOLD (MD)?
Travel planning: use Encino, California as the reference point for DR. THOMAS ANDREW HERBOLD (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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