KONSTANTINS KOCIASVILI M.D. NPI 1588854848

NPI Information

  • NPI: 1588854848
  • Provider Name: KONSTANTINS KOCIASVILI, M.D.
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3633 W LAKE AVE STE 307
    GLENVIEW, IL
    ZIP 60026
  • Phone: (847) 626-8722

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NPI Details

Konstantins Kociasvili, M.D. is an adult medicine family medicine in Glenview, IL with 25 years of experience. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Konstantins Kociasvili, M.D. NPI is 1588854848. 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:

3633 W LAKE AVE STE 307
GLENVIEW, IL
ZIP 60026-803
Phone: (847) 626-8722
Fax: (847) 316-9502

The NPI 1588854848 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.

  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Application of electrical stimulation with therapist present, each 15 minutes (HCPCS:97032)
  • Application of ultrasound, each 15 minutes (HCPCS:97035)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hospital observation care on day of discharge (HCPCS:99217)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Follow-up observation care per day, typically 35 minutes (HCPCS:99226)

The enumeration date for this NPI number is 8/1/2007 and was last updated on 1/13/2023.

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
1207QA0505XFamily MedicineAdult Medicine036135325ILLINOISYes

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
1125052607OTHERILLINOIS125052607
2036135325MEDICAIDILLINOIS

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: 11/21/2025

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