BANIPAL HOVHANESSIAN (MD) – Specialist, NPI 1639120371

BANIPAL HOVHANESSIAN (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. The NPI Number for BANIPAL HOVHANESSIAN (MD) is 1639120371

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
BANIPAL HOVHANESSIAN (MD)
NPI
1639120371
Phone
Not provided
Address
6626 E 75TH ST
Enumeration Date
15 May 2006
Last Update Date
22 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9169735000
Graduation Year
1976 (50 years ago)
PAC ID
0143387001
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20211201001662
Address ID
CA958252115SA2025XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:20State licenses:0Other namesUpdated within 12 months

242 OTOLARYNGOLOGY in IN

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Provider Addresses for BANIPAL HOVHANESSIAN (MD)

  • Hocker & Associates, 6626, East 75th Street, Indianapolis, Indiana, 46250, United States

    SUITE 500

    INDIANAPOLIS, IN 462502805

    Phone:

    Type: Mailing

  • Community Howard Regional Health Inc., 2220, West Alto Road, Liberty Manor, Alto, Kokomo, Howard County, Indiana, 46902, United States

    KOKOMO, IN 469024840

    Phone: (765) 455-2577

    Fax: (765) 455-0214

    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: 2021-12-01

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
I20211201001662IOtolaryngologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46250)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference BANIPAL HOVHANESSIAN (MD)?
For BANIPAL HOVHANESSIAN (MD), use NPI 1639120371 as the unique 10-digit identifier.
Is BANIPAL HOVHANESSIAN (MD) still an active registrant?
BANIPAL HOVHANESSIAN (MD) carries an active NPI according to the public dataset.
What area of care is associated with BANIPAL HOVHANESSIAN (MD)?
BANIPAL HOVHANESSIAN (MD)'s record emphasizes Other Service Providers. Clinical services aligned with this taxonomy classification.
Is BANIPAL HOVHANESSIAN (MD) located near Indianapolis?
BANIPAL HOVHANESSIAN (MD) currently maps to Indianapolis, Indiana in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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