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ANN R DATUNASHVILI M.D. NPI 1376544932


NPI Information

NPI: 1376544932
Provider Name: ANN R DATUNASHVILI, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
874 HOWARD AVE
NEW HAVEN, CT
ZIP 06519
Phone: (203) 688-8200
Get Directions

Ann R Datunashvili, M.D. is a geriatric medicine internal medicine in New Haven, CT with 29 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Ann R Datunashvili, M.D. NPI is 1376544932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

874 HOWARD AVE
NEW HAVEN, CT
ZIP 06519-106
Phone: (203) 688-8200
Fax: (203) 688-8204

The NPI 1376544932 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 8/4/2005 and was last updated on 3/24/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric Medicine039938CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13621604OTHERCONNECTICUTAETNA
2039938OTHERCONNECTICUTCONNECTICARE
3001399387MEDICAIDCONNECTICUT
4P3307906OTHERCONNECTICUTOXFORD
5P00132026OTHERCONNECTICUTRAIL ROAD MEDICARE
6D400015692MEDICARE PINCONNECTICUT
7061561581OTHERCONNECTICUTCIGNA
8I04343MEDICARE UPIN
92V6380OTHERCONNECTICUTHEALTH NET
10061561581OTHERCONNECTICUTHEALTH CT
11061561581OTHERCONNECTICUTUNITED HEALTHCARE
12367593OTHERCONNECTICUTWELLCARE OF CT
13010039938CT01OTHERCONNECTICUTANTHEM BC/BS

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

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.