LILIT BALTAIAN, M.D. — NPI 1154552305 (Licensed & Credentialed Legal Medicine in TUJUNGA, CA)

CMS-1500 Box 24J / 33a • NPI

1154552305

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

173000000X

Licensed & Credentialed Legal Medicine

Box 32 Service Location & ZIP+4

7412 FOOTHILL BLVD, TUJUNGA, CA, 91042

Official NPPES Practice Location

Practice Phone & Referral Fax

(818) 353-1512

Fax: (818) 353-1089

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1154552305 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min) — Effective 2026-01-20). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1154552305` (NPI-1 Individual Practitioner)
Provider / Legal Name	LILIT BALTAIAN, M.D.
Plain-English Specialty	Licensed & Credentialed Legal Medicine NUCC Code: `173000000X` (Legal Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	7412 FOOTHILL BLVD, TUJUNGA, CA, 91042
Practice Telephone / Fax	Tel: (818) 353-1512 \| Fax: (818) 353-1089
Administrative Mailing Address	7412 FOOTHILL BLVD, TUJUNGA, CA, 91042-2722
Enumeration & Last Sync	Enumerated: 2009-08-06 \| CMS Record Updated: 2014-01-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

7412 FOOTHILL BLVD, TUJUNGA, CA, 91042

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Plain-English Taxonomy & CMS Crosswalk (173000000X)

What Does Taxonomy Code 173000000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 173000000X translates to:
"Licensed & Credentialed Legal Medicine"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Legal Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LILIT BALTAIAN, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`173000000X` — Legal Medicine Plain English: Licensed & Credentialed Legal Medicine	State: CA \| License: `A105197` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LILIT BALTAIAN, M.D. (NPI #1154552305)