Dr Shota Gurchumelidze, MD in La Mesa, CA - Medicare Internal Medicine

Dr Shota Gurchumelidze, MD is a medicare enrolled "Internal Medicine" physician in La Mesa, California. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Community Health Partners and his current practice location is 8875 La Mesa Blvd Ste C, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (619) 668-8100.

Dr Shota Gurchumelidze is licensed to practice in California (license number A-101612) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821284449.

Contact Information

	Dr Shota Gurchumelidze, MD
	8875 La Mesa Blvd Ste C, La Mesa, CA 91942-5434
	(619) 668-8100
	(619) 667-2688

Map and Direction

Physician's Profile

Full Name	Dr Shota Gurchumelidze
Gender	Male
Speciality	Internal Medicine
Experience	35 Years
Location	8875 La Mesa Blvd Ste C, La Mesa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shota Gurchumelidze graduated from medical school in 1989

NPI Data:

NPI Number: 1821284449
Provider Enumeration Date: 09/18/2007
Last Update Date: 02/01/2018

Medicare PECOS Information:

PECOS PAC ID: 0941381628
Enrollment ID: I20080118000669

Medical Identifiers

Medical identifiers for Dr Shota Gurchumelidze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821284449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A-101612 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community Regional Medical Center	Fresno, CA	Hospital
Clovis Community Medical Center	Clovis, CA	Hospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shota Gurchumelidze allows following entities to bill medicare on his behalf.

Entity Name	Datnguyen, M.d., Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215977723 PECOS PAC ID: 4587668736 Enrollment ID: O20060831000265

Entity Name	Community Health Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952912420 PECOS PAC ID: 6608280268 Enrollment ID: O20210122001714

Entity Name	Shota Gurtch Md Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154050904 PECOS PAC ID: 1254795578 Enrollment ID: O20230919003294

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shota Gurchumelidze is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shota Gurchumelidze, MD 11848 Miro Cir, San Diego, CA 92131-3323 Ph: (858) 997-3161	Dr Shota Gurchumelidze, MD 8875 La Mesa Blvd Ste C, La Mesa, CA 91942-5434 Ph: (619) 668-8100

Reviews and Comments

Internal Medicine Doctors in La Mesa, CA

Alborz Hassankhani, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-668-0044 Fax: 619-245-2481
Paul Y Abou, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-465-0711
Rosemary Ting Tu, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Bldg.#1, Suite#112, La Mesa, CA 91942 Phone: 619-469-5400 Fax: 619-464-1311
Dr. Lloyd Stuart Kuritsky, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8851 Center Dr, Suite 408, La Mesa, CA 91942 Phone: 619-589-8626 Fax: 619-589-8864
Purushotham Kotha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr, #400, La Mesa, CA 91942 Phone: 619-229-1995
Dr. Leila Sofia Bolandgray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-937-6349 Fax: 866-313-8916
Michael H Michalski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5358 Jackson Dr, Suite 1, La Mesa, CA 91942 Phone: 619-667-7072 Fax: 619-667-7064

Dr Shota Gurchumelidze, MD - Medicare Internal Medicine in La Mesa, CA