Dr Nikolay Shavladze, MD - Medicare Diagnostic Radiology in Brooklyn, NY

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Dr Nikolay Shavladze, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Brooklyn, New York. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Columbus Diagnostic Center Inc, Northside Radiology Associates Llc and his current practice location is 1 Brookdale Plz, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (917) 460-5591.

Dr Nikolay Shavladze is licensed to practice in Georgia (license number 86737) 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 1699186775.

Contact Information

Dr Nikolay Shavladze, MD
1 Brookdale Plz,
Brooklyn, NY 11212-3139
(917) 460-5591
Not Available

Map and Direction




Physician's Profile

Full NameDr Nikolay Shavladze
GenderMale
SpecialityDiagnostic Radiology
Experience14 Years
Location1 Brookdale Plz, Brooklyn, New York
Accepts Medicare AssignmentsYes. 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 Nikolay Shavladze graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1699186775
  • Provider Enumeration Date: 05/12/2014
  • Last Update Date: 06/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698175008
  • Enrollment ID: I20210607001228

Medical Identifiers

Medical identifiers for Dr Nikolay Shavladze such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699186775NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 86737 (Georgia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 86737 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Columbus Regional MidtownColumbus, GAHospital
Piedmont Columbus Regional NorthsideColumbus, GAHospital
Clinch Memorial HospitalHomerville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Columbus Diagnostic Center Inc337545588436
Northside Radiology Associates Llc4486555398213

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 Nikolay Shavladze allows following entities to bill medicare on his behalf.
Entity NameNorthside Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013960657
PECOS PAC ID: 4486555398
Enrollment ID: O20040115000095
Entity NameColumbus Diagnostic Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316108624
PECOS PAC ID: 3375455884
Enrollment ID: O20040429001218

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 Nikolay Shavladze 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 AddressPractice Location Address
Dr Nikolay Shavladze, MD
1435 York Ave Apt 5j,
New York, NY 10075-2525

Ph: (917) 460-5591		Dr Nikolay Shavladze, MD
1 Brookdale Plz,
Brooklyn, NY 11212-3139

Ph: (917) 460-5591

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.