OMARI CHUBINIDZE MD NPI 1669524096

NPI Information

NPI: 1669524096
Provider Name: OMARI CHUBINIDZE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
200 E CHESTNUT ST STE 303
LOUISVILLE, KY
ZIP 40202
Phone: (502) 629-5552
Get Directions

Omari Chubinidze, MD is a family medicine in Louisville, KY with 30 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Omari Chubinidze, MD NPI is 1669524096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 E CHESTNUT ST STE 303
LOUISVILLE, KY
ZIP 40202-831
Phone: (502) 629-5552
Fax: (502) 629-3132

The NPI 1669524096 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 5/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208M00000X	Hospitalist		41262	KENTUCKY	No
2	207Q00000X	Family Medicine		41262	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00434866	OTHER	KENTUCKY	RAILROAD MEDICARE - KY
2	090920	OTHER		SIHO - NICC
3	50023118	OTHER	KENTUCKY	PASSPORT- NORTON INPATIENT SPECIALISTS
4	3704051000	OTHER	KENTUCKY	PASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS
5	098045	OTHER		NCMA/SIHO
6	000000522775	OTHER		ANTHEM - NICC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »