NICHOLAS N DZEBOLO MD NPI 1932239837

NPI Information

  • NPI: 1932239837
  • Provider Name: NICHOLAS N DZEBOLO, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2105 BEVERLY BLVD STE 111
    LOS ANGELES, CA
    ZIP 90057
  • Phone: (213) 484-3994

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NPI Details

Nicholas N Dzebolo, MD is an interventional cardiology internal medicine in Los Angeles, CA with 52 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Nicholas N Dzebolo, MD NPI is 1932239837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1973

The provider's business location address is:

2105 BEVERLY BLVD STE 111
LOS ANGELES, CA
ZIP 90057-252
Phone: (213) 484-3994
Fax: (212) 484-8795

The NPI 1932239837 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complete ultrasound scan of joint (HCPCS:76881)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Testing of autonomic (sympathetic) nervous system function (HCPCS:95923)
  • Testing of autonomic (sympathetic and parasympathetic) nervous system function, at least 5 minutes of tilt (HCPCS:95924)
  • Electrocardiogram (ecg) 1 to 3 leads with review by physician (HCPCS:93040)
  • Limited ultrasound scan of pelvis (HCPCS:76857)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient home visit, typically 45 minutes (HCPCS:99343)

The enumeration date for this NPI number is 3/7/2007 and was last updated on 11/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0904XRadiologyNuclear RadiologyG036396CALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyG036396CALIFORNIANo
32085R0204XRadiologyVascular & Interventional RadiologyG036396CALIFORNIANo
4207UN0901XNuclear MedicineNuclear CardiologyG036396CALIFORNIANo
5207RI0011XInternal MedicineInterventional CardiologyG036396CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A46671MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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