Physician Profile
Armen Choulakian, MD is a healthcare provider in Fresno, CA specializing in neurosurgery. Armen trained at University of Missouri, Kansas City, School of Medicine, graduating in 2003. Armen is also listed as specializing in neurological surgery. According to Medicare claims data, Armen cared for 41 Medicare patients across 43 services. The services billed most often include removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance, initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes, and insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist. This provider record is associated with NPI 1861694242.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
45 E RIVER PARK PL W SUITE 104
Fresno, CA 93720
Within Neurological Surgery generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Brain & spine conditions
Brain conditions
Brain disorders
Brain injury
Brain tumors
Movement disorders
Nerve disorders
Pain
Pediatric conditions
Spine & back
Spine conditions
Spine deformity
Trauma & injury
Most searched procedures
Brain & spine surgery
Brain procedures
Brain surgery
Cranial reconstruction
Diagnostic & therapeutic
Endovascular procedures
Functional neurosurgery
Monitoring & trauma
Nerve procedures
Nerve surgery
Pain procedures
Pediatric neurosurgery
Radiation & radiosurgery
Radiation surgery
Skull base surgery
Spasticity treatment
Spine procedures
Spine surgery
Vascular neurosurgery
43 services · 41 patients · 3 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance | Procedure | 61645 |
17 | More often than most peers in Neurosurgery |
| Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist | Procedure | 36224 |
12 | Less often than most peers in Neurosurgery |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
14 | Less often than most peers in Neurosurgery |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Choulakian is a neurosurgery in Fresno, CA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Dr. Choulakian is listed at 45 E River Park Pl W Suite 104, Fresno, CA 93720. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (559) 320-0530. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Choulakian's National Provider Identifier is 1861694242. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Choulakian attended University of Missouri, Kansas City, School of Medicine, graduating in 2003. This comes from the CMS National Downloadable File.
CMS public data
Dr. Choulakian has 23 years experience. Calculated from a graduation year of 2003, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Choulakian performs procedures including removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance and insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Choulakian. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.