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NPI · 1679779409 · NPPES-sourced

Nino Dgebuadze M.D., PH.D.

ActivePhysical Medicine & Rehabilitation
NPI Number
1679779409
Type 1 · Individual
Taxonomy Code
208100000X
Contact
(301) 797-9240
License MD · D0073349
Last Updated
About 7 years ago (Nov 2018)
Enumerated 2007-06-27
Primary practice addressMD · 21740
17 Western Maryland Pkwy, Suite 100Hagerstown, MD 21740
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About this NPIWhat this record shows.

NPI 1679779409 is registered to Nino Dgebuadze M.D., PH.D., a Physical Medicine & Rehabilitation practising at 17 Western Maryland Pkwy, Suite 100 in Hagerstown, Maryland. Physical Medicine & Rehabilitation is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Nino Dgebuadze M.D., PH.D. has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2007-06-27
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 97628601MD· Issued by BCBS LOCAL CAREFIRST KG85
  • W2660030MD· Issued by BCBS REGIONAL W266
  • P01024230MD· Issued by RR MEDICARE MD

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Nino Dgebuadze M.D., PH.D. accepts. To confirm in-network status with your specific health plan, contact Nino Dgebuadze M.D., PH.D. directly at (301) 797-9240.

Frequently asked

Yes. NPI 1679779409 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Medicine & Rehabilitation is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (301) 797-9240.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Nino Dgebuadze M.D., PH.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208100000X
Last updated2018-11
Enumerated2007-06-27
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Physical Medicine & Rehabilitation providers in Maryland.

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