Anna Egriselashvili, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35093484 Issued in OH

Practice address

6770 Mayfield Rd
425
Mayfield HTS, OH 44124-2299

Phone

(440) 442-2040

Fax

(440) 460-2807

NPI assigned

Apr 20, 2009

Last updated

Jan 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Anna Egriselashvili Professional name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Medical Group IncGroup PAC ID 2365429164, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Hospice Hospice, Independence, OH, CCN 361554
• Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
• Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Precision Medical Group Inc.

  • Cardiovascular Disease Physician
  • Mayfield HTS, OH
  • NPI 1346439734

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Cleveland Clinic Health System - East Region

  dba Hillcrest Hospital

  • General Acute Care Hospital
  • Mayfield HTS, OH
  • NPI 1902858152
  NPD (past)
• Marymount Hospital Inc

  dba Marymount Hospital

  • General Acute Care Hospital
  • Garfield Heights, OH
  • NPI 1942248737
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cleveland Clinic Health System - East Region

  dba Hillcrest Hospital

  • General Acute Care Hospital
  • Mayfield HTS, OH
  • NPI 1902858152
  Care Compare affiliation
• Cleveland Clinic Home Care Services

  dba Hospice of the Cleveland Clinic

  • Community Based Hospice Care Agency
  • Independence, OH
  • NPI 1598738718
  Care Compare affiliation
• Marymount Hospital Inc

  dba Marymount Hospital

  • General Acute Care Hospital
  • Garfield Heights, OH
  • NPI 1942248737
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1003059197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD",
            "address_2": "425",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-442-2040",
            "fax_number": "440-460-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD",
            "address_2": "425",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-442-2040",
            "fax_number": "440-460-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGRISELASHVILI",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35093484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID- TYPE UNSPECIFIED",
            "identifier": "4276311",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2998583",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "EGRISELASHVILI",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Angela Donaldson, CNP
• Sandra Doran, RN
• Thomas J Drockton, D.D.S.
• Donald Ebersbacher, MD
• Michele Celeste Edgington, C.C.P.
• Henry William Eisenberg, M.D.
• Fadi El-Tamimi
• Yakov Elizerov, D.M.D.
• Polina Engelhardt, CNP
• Melissa Estrin

• Internal Medicine Physician in Mayfield HTS, OH
• Providers in Mayfield HTS, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.