Dr Otar Datiashvili, MD - Medicare Emergency Medicine in North Adams, MA

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Dr Otar Datiashvili, MD is a medicare enrolled "Emergency Medicine" physician in North Adams, Massachusetts. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Bassett Healthcare, Island Emergency Medical Services Pc, Emergency Physician Services Of New York, P.c. and his current practice location is 60 Roberts Dr Ste 313, North Adams, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 398-5509.

Dr Otar Datiashvili is licensed to practice in New York (license number 273598-1) 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

Dr Otar Datiashvili, MD
60 Roberts Dr Ste 313,
North Adams, MA 01247-3254
(413) 398-5509
Not Available

Map and Direction




Physician's Profile

Full NameDr Otar Datiashvili
GenderMale
SpecialityEmergency Medicine
Experience12 Years
Location60 Roberts Dr Ste 313, North Adams, Massachusetts
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 Otar Datiashvili graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1083096572
  • Provider Enumeration Date: 06/22/2015
  • Last Update Date: 04/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678882214
  • Enrollment ID: I20191010001727

Medical Identifiers

Medical identifiers for Dr Otar Datiashvili such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083096572NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 273598-1 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ellis HospitalSchenectady, NYHospital
Putnam Hospital CenterCarmel, NYHospital
Aurelia Osborn Fox Memorial HospitalOneonta, NYHospital
Arnot Ogden Medical CenterElmira, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bassett Healthcare3779488325641
Island Emergency Medical Services Pc4981503513150
Emergency Physician Services Of New York, P.c.832593980492

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 Otar Datiashvili allows following entities to bill medicare on his behalf.
Entity NameMary Imogene Bassett Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083664221
PECOS PAC ID: 3779488325
Enrollment ID: O20031205000553
Entity NameIsland Emergency Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639160385
PECOS PAC ID: 4981503513
Enrollment ID: O20040102000662
Entity NameMary Imogene Bassett Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083664221
PECOS PAC ID: 3779488325
Enrollment ID: O20040120000834
Entity NameEmergency Physician Services Of New York, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093759847
PECOS PAC ID: 8325939804
Enrollment ID: O20040901000528
Entity NameEmergency Physician Services Of New York, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093759847
PECOS PAC ID: 8325939804
Enrollment ID: O20041001000684
Entity NameCity Medical Of Upper East Side Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801277629
PECOS PAC ID: 0648465039
Enrollment ID: O20101111000052
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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 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 AddressPractice Location Address
Dr Otar Datiashvili, MD
60 Roberts Dr # 313,
North Adams, MA 01247-3254

Ph: (413) 398-5509		Dr Otar Datiashvili, MD
60 Roberts Dr Ste 313,
North Adams, MA 01247-3254

Ph: (413) 398-5509

Reviews and Comments


Emergency Medicine Doctors in North Adams, MA

Mr. Peter Winnard Lang, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 71 Hospital Avenue, North Adams Regional Hospital Emergency Room, North Adams, MA 01247
Phone: 413-664-5256    
Fred Landes, M.D.
Emergency Medicine
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Practice Location: 71 Hospital Ave, North Adams, MA 01247
Phone: 413-664-5256    
Dr. Tabitha Cheng, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 60 Roberts Dr Ste 313, North Adams, MA 01247
Phone: 413-398-5733    
Oscar Rodriguez, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 71 Hospital Ave, North Adams, MA 01247
Phone: 413-664-5256    
Dr. Raghavendra Kulkarni, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 60 Roberts Dr Ste 313, North Adams, MA 01247
Phone: 413-398-5732    
Anibal Fernando Ponce, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 71 Hospital Ave, North Adams, MA 01247
Phone: 413-664-5256    

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.