Levani Odikadze, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD471479 Issued in PA

Practice address

1600 E High St
Pottstown, PA 19464-5008

Phone

(610) 327-7000

NPI assigned

Mar 21, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

Emory University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Montgomery Home health agency, Montgomery, AL, CCN 017319
• Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024

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 and National Provider Directory roles.

• Jackson Hospital and Clinic, Inc.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1073264107

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  AL

  Medicare reassignment NPD
• Jackson Hospital & Clinic, Inc.

  • Physical Therapist
  • Montgomery, AL
  • NPI 1265325823
  NPD
• Jackson Hospital and Clinic, Inc.

  • Hospitalist Physician
  • Montgomery, AL
  • NPI 1306229190
  NPD
• Jackson Hospital & Clinic, Inc.

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1043262488
  NPD (past)

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

• Amedisys Alabama, LLC

  • Home Health Agency
  • Montgomery, AL
  • NPI 1174581474
  Care Compare affiliation
• Jackson Hospital & Clinic, Inc.

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1043262488
  Care Compare affiliation

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1265963441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645008",
            "telephone_number": "610-327-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIKADZE",
        "first_name": "LEVANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD471479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Shane O'Shura, MD
• Jacek Zdzislaw Obara, M.D.
• Saidat Obideyi
• Figen Odemis, RDN, LDN
• John Odi
• Isabel Odonnell
• Nicole Oesterling
• Chinyere Ohanenye
• Sandra Dejesus Ojeda, O.D.
• Ijeoma C Okafor, PHARMD

• Internal Medicine Physician in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.