Ivan Tsutskiridze, MD - Medicare Internal Medicine in Philadelphia, PA

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Ivan Tsutskiridze, MD is a medicare enrolled "Internal Medicine" physician in Philadelphia, Pennsylvania. His current practice location is 333 Cottman Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 728-2844.

Ivan Tsutskiridze is licensed to practice in Pennsylvania (license number MD444322) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871510842.

Contact Information

Ivan Tsutskiridze, MD
333 Cottman Ave,
Philadelphia, PA 19111-2434
(215) 728-2844
(215) 214-1425

Map and Direction




Physician's Profile

Full NameIvan Tsutskiridze
GenderMale
SpecialityInternal Medicine
Location333 Cottman Ave, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871510842
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 04/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1153393400
  • Enrollment ID: I20111109000070

Medical Identifiers

Medical identifiers for Ivan Tsutskiridze such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871510842NPI-NPPES
3865276000OtherPAKEYSTONE IBC
1026484200001MedicaidPA
24668OtherNDNORTH DAKOTA BLUE SHIELD
2669208OtherPAHIGHMARK BLUE SHIELD
13141MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 9781 (North Dakota)Secondary
208M00000XHospitalist MD444322 (Pennsylvania)Secondary
207R00000XInternal Medicine MD444322 (Pennsylvania)Primary

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. Ivan Tsutskiridze allows following entities to bill medicare on his behalf.
Entity NameTemple Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942444088
PECOS PAC ID: 2062317233
Enrollment ID: O20040310000054
Entity NameTrinity Health Mid-atlantic Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972982361
PECOS PAC ID: 7416861885
Enrollment ID: O20040326000613
Entity NamePinnacle Health Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932143427
PECOS PAC ID: 7618960493
Enrollment ID: O20040407000180
Entity NameHospitalist Medicine Physicians Of Pennsylvania Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639464308
PECOS PAC ID: 9234309840
Enrollment ID: O20110908001888
Entity NameFox Chase Cancer Center Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396019444
PECOS PAC ID: 8123289550
Enrollment ID: O20120412000054
Entity NamePinnacle Health Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023458148
PECOS PAC ID: 9739313545
Enrollment ID: O20131010001079
Entity NameSuburban Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710355029
PECOS PAC ID: 6204145642
Enrollment ID: O20151026000795
Entity NameInhospital Physicians Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073971750
PECOS PAC ID: 3779888110
Enrollment ID: O20160224000067
Entity NameNazareth Physician Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285150458
PECOS PAC ID: 0941229017
Enrollment ID: O20171026001610
Entity NameTemple Faculty Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881176949
PECOS PAC ID: 0345588711
Enrollment ID: O20190208002623

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. Ivan Tsutskiridze 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
Ivan Tsutskiridze, MD
2450 W Hunting Park Ave,
Philadelphia, PA 19129-1302

Ph: (215) 728-2844		Ivan Tsutskiridze, MD
333 Cottman Ave,
Philadelphia, PA 19111-2434

Ph: (215) 728-2844

Reviews and Comments


Internal Medicine Doctors in Philadelphia, PA

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Maria Esther Escorcia De Leon, M.D.
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Cherag Daruwala, MD
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Dr. Robert Burke, M.D.
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Phone: 215-662-9436    Fax: 215-243-3208
Eva Hassan Alsheik, M.D.
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Dr. Jason Thomas Ackrivo, MD
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Phone: 215-614-0871    

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.