Active NPI
Tinatin Chabrashvili, M.D.
- Radiation Oncology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 59408
- Practice address
- 3401 N Broad St # C525
Philadelphia, PA 19140-5103 - Phone
- (301) 520-5549
- NPI assigned
- Jan 28, 2008
- Last updated
- May 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD435242 | PA | |
| Neurology Physician | 2084N0400X | 000771 | GA | |
| Radiation Oncology Physician | 2085R0001X | 59408 | MA | Primary |
Addresses
Primary practice location
3401 N Broad St # C525
Philadelphia, PA 19140-5103
Mailing address
800 Washington St
Boston, MA 02111-1552
Phone (301) 520-5549
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000771 | Other | GA | RESIDENCY TRAINING PERMIT |
| MD435242 | Other | PA | MEDICAL LICENCE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
90 Presidential PLZ
Suite 4
Syracuse, NY 13202-2240
Phone (315) 464-4243
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.06 of 100
- Quality
- 92.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000771 | GA | MD | Psychologist |
| 59408 | MA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Medical Service Group, LLP | Neurology | Current | Accepting new patients |
| Temple Univ Health System | Past | Accepting new patients | |
| Suny Health Science Center at Syracuse | Past | Accepting new patients |
Locations
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
90 Presidential Plz
#4
Syracuse, NY 13202
Phone (315) 464-4243
Interoperability endpoints
- tchabrashvili95290@direct.upstate.edu
Organizations & group practices 3
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.
-
- Neurology Physician
- Syracuse, NY
- NPI 1518907096
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1265744502
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1235316662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "301-520-5549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST # C525",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "301-520-5549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHABRASHVILI",
"first_name": "TINATIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD435242",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "000771",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MA",
"license": "59408",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENCY TRAINING PERMIT",
"identifier": "000771",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENCE NUMBER",
"identifier": "MD435242",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.