Otar Datiashvili, MD in Bloomington, IN

Otar Datiashvili, MD is a medicare enrolled "Emergency Medicine" physician in Bloomington, Indiana. His current practice location is 2651 E Discovery Pkwy, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 353-9515.

Otar Datiashvili is licensed to practice in Indiana (license number 01093706A) 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 1083096572.

Contact Information

	Otar Datiashvili, MD
	2651 E Discovery Pkwy, Bloomington, IN 47408-9059
	(812) 353-9515
	(812) 353-9275

Map and Direction

Physician's Profile

Full Name	Otar Datiashvili
Gender	Male
Speciality
Experience	Years
Location	2651 E Discovery Pkwy, Bloomington, Indiana
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:

Otar Datiashvili attended and graduated from in

NPI Data:

NPI Number: 1083096572
Provider Enumeration Date: 06/22/2015
Last Update Date: 03/05/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Otar Datiashvili such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083096572	NPI	-	NPPES
03782025	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	01093706A (Indiana)	Primary
207P00000X	Emergency Medicine	273598-1 (New York)	Secondary

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. Otar Datiashvili 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
Otar Datiashvili, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Otar Datiashvili, MD 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 353-9515

Reviews and Comments

Emergency Medicine Doctors in Bloomington, IN

Ronald C Jenson, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4794 Red Oak Ln, Bloomington, IN 47401 Phone: 812-396-9620
Dr. Robert Stone, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 514 W 2nd St, Bloomington, IN 47403 Phone: 812-353-3719 Fax: 812-353-3713
Dr. Christina M Cabott, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-336-1690 Fax: 812-349-1325
Dr. John Austin Lee, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-9515 Fax: 812-353-9275
Dr. Carlyle George Langhorn Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-9515
Jonathan D Hart, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-355-2300 Fax: 812-355-2316

Otar Datiashvili, MD - Medicare in Bloomington, IN