Active NPI
Alex Kartvelishvili, M.D.
- Ophthalmology Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 42695
- Practice address
- 2225 Mormon Trek Blvd Ste 100
Iowa City, IA 52246-4407 - Phone
- (641) 754-6200
- Fax
- (641) 754-6245
- NPI assigned
- Sep 27, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Joplin, MO
- NPI 1285767889
Ophthalmology
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- Optometrist
- New Hampton, IA
- NPI 1013188564
-
- Eyewear Supplier
- Grundy Center, IA
- NPI 1952084717
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- State University of New York Downstate Medical Center, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wolfe Clinic Inc
Practice addresses (Care Compare)
2225 Mormon Trek Blvd
Suite 100
Iowa City, IA 52246-4407
Phone (319) 337-5770
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150715000824 | IA | Practitioner - Ophthalmology | 4284809120 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42695 | IA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Eye Institute of Joplin LLC | Ophthalmology | Current | Accepting new patients |
| Wolfe Clinic Inc | Ophthalmology | Current | Accepting new patients |
| Riley F Uglum, OD PC | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Wolfe Clinic Eye Centers LC | Past | Accepting new patients |
Locations
516 Division St
Ste 120B
Cedar Falls, IA 50613
Phone (319) 277-0103
516 Division St
Ste 120
Cedar Falls, IA 50613
Phone (319) 266-0345
1195 Boyson Rd
Ste 200
Hiawatha, IA 52233
Phone (319) 362-8032
2225 Mormon Trek Blvd
Ste 100
Iowa City, IA 52246
Phone (319) 337-5770
309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200
8 E Spring St
New Hampton, IA 50659
Phone (641) 394-2326
1005 Pennsylvania Ave
Ste 110
Ottumwa, IA 52501
Phone (515) 682-8571
5900 E University Ave
Ste 202
Pleasant Hill, IA 50327
Phone (515) 262-3988
6200 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-9880
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
1905 W 32nd St
Ste 301
Joplin, MO 64804
Phone (417) 624-8408
1531 E Bradford Pkwy
Ste 100
Springfield, MO 65804
Interoperability endpoints
- akartvelishvili@wolfe.intellechartdirect.net
- alex.kartvelishvili@cernerdirect.coxhealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 42695 | IA | Primary |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 42695 | IA |
Addresses
NPPES NPI RegistryPrimary practice location
2225 Mormon Trek Blvd Ste 100
Iowa City, IA 52246-4407
Mailing address
309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215124706 | Other | IA | WELLMARK |
| 1215124706 | Medicaid | IA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2018.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1215124706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E CHURCH ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501582946",
"telephone_number": "641-754-6200",
"fax_number": "641-754-6245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 MORMON TREK BLVD STE 100",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522464407",
"telephone_number": "641-754-6200",
"fax_number": "641-754-6245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARTVELISHVILI",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-27",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "42695",
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "IA",
"license": "42695",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "1215124706",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215124706",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.