MANUSHAK AVANESYAN – Medical Physician Assistant, NPI 1568120608

MANUSHAK AVANESYAN is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. The NPI Number for MANUSHAK AVANESYAN is 1568120608

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MANUSHAK AVANESYAN
NPI
1568120608
Phone
(818) 802-6255
Address
9647 SOUND VIEW AVE
Enumeration Date
6 December 2021
Last Update Date
6 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7026330207
Graduation Year
2021 (5 years ago)
PAC ID
6103211677
Group Practice PAC ID
7810067741
Professional Enrollment ID
I20220318001846
Address ID
NV890306308NX2031XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for MANUSHAK AVANESYAN

  • 9647 SOUND VIEW AVE

    LAS VEGAS, NV 891478223

    Phone: (818) 802-6255

    Type: Mailing

  • 2031 MCDANIEL ST STE 140

    NORTH LAS VEGAS, NV 890306308

    Phone: (702) 633-0207

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 136 Open Payments records for all available years, with a total value of $2,577.

Total Amount is formed as General ($2,577) + Research ($0) + Ownership ($0) = $2,577.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($671).

Total Amount

$2,577

General + Research + Ownership

Payments

136

Total payment records

General Amount

$2,577

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-03-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220318001846IPhysician AssistantNVTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes137101$0
99203New patient office or other outpatient visit, 30-44 minutes8484$0
View full utilization report →

Insurance plans in this area (ZIP 89147)

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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: 7810067741View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YNV
Gastroenterology, Internal MedicineRI
Gastroenterology, Osteopathic Manipulative MedicineNV
Nurse PractitionerNV
Physician AssistantCA
G A S T R O E N T E R O L O G YCA
Physician AssistantNV
G A S T R O E N T E R O L O G YNV
Gastroenterology, Internal MedicineNV
G A S T R O E N T E R O L O G YNV

Reviews

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Frequently asked questions

Is MANUSHAK AVANESYAN listed with a National Provider Identifier?
Yes — MANUSHAK AVANESYAN has NPI 1568120608 on file in the registry.
Is MANUSHAK AVANESYAN still an active registrant?
MANUSHAK AVANESYAN carries an active NPI according to the public dataset.
How would a patient describe MANUSHAK AVANESYAN's focus?
For MANUSHAK AVANESYAN, the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MANUSHAK AVANESYAN associated with Las Vegas?
Public fields place MANUSHAK AVANESYAN around Las Vegas, Nevada. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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