Irakli Giorgberidze, M.D.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

M1705 Issued in TX

Practice address

6550 Fannin St
Suite 1723
Houston, TX 77030-2717

Phone

(713) 799-1610

Fax

(713) 799-1558

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Ep-Cardiology PA

  • Clinical Cardiac Electrophysiology Physician
  • Houston, TX
  • NPI 1043264039
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1104871953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 1723",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302747",
            "telephone_number": "713-799-1610",
            "fax_number": "713-799-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 1723",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-799-1610",
            "fax_number": "713-799-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORGBERIDZE",
        "first_name": "IRAKLI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "M1705",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MA",
            "license": "217421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8S9520",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gio Dental PLLC
• Gioconda Rivera DDS, PC
• Brennan Gioe, MD
• Sharon M. Giordano, M.D., MPH
• Thomas Giordano, MD
• Lisa Giovanetti, DDS
• Juvy Gipitulan, PT
• Ashley Gipson
• Betty Gipson
• Deborah Gipson, OTR

• Clinical Cardiac Electrophysiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Cardiac Electrophysiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.