Active NPI
Nino O Kurtsikidze, M.D.
- Internal Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME100749
- Practice address
- 1839 Central Ave
St Petersburg, FL 33713-8900 - Phone
- (727) 322-1054
- Fax
- (727) 822-8081
- NPI assigned
- Feb 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME100749 | FL | Primary |
Addresses
Primary practice location
1839 Central Ave
St Petersburg, FL 33713-8900
Mailing address
1839 Central Ave
St Petersburg, FL 33713-8900
Phone (727) 322-1054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1839 Central Ave
St Petersburg, FL 33713-9089
Phone (727) 322-1054
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Health Care of Pinellas Inc. | Current | Accepting new patients | |
| MG H2 LLC | Current | Accepting new patients | |
| Professional Health Care of Pinellas LLC | Internal Medicine | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| QMC LLC | Past | Accepting new patients | |
| Washington County Healthcare Authority, Inc | Past | Accepting new patients |
Locations
2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303
6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
3487 NW 30th St
Lauderdale Lakes, FL 33311
Phone (954) 641-4200
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054
8133 54th Ave N
St Petersburg, FL 33709
Phone (727) 541-4458
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
Interoperability endpoints
- nkurtsikidze189010@orlandohealth.medalliesdirect.net
- https://fhir4.healow.com/fhir/r4/EIJHAA
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1881647253
-
- Hospitalist Physician
- Miami, FL
- NPI 1710583976
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Chiropractor
- St Petersburg, FL
- NPI 1568970903
-
dba Washington County Physicians
- General Practice Physician
- Chatom, AL
- NPI 1437330438
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida St. Petersburg Hospital
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1518911031
-
dba Bayfront Health St Petersburg
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1154399749
-
dba Bayfront Health St. Petersburg
- Rehabilitation Hospital Unit
- St Petersburg, FL
- NPI 1912975228
Inpatient rehabilitation facility
-
dba St. Anthonys Hospital
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1376516724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138900",
"telephone_number": "727-322-1054",
"fax_number": "727-822-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138900",
"telephone_number": "727-322-1054",
"fax_number": "727-822-8081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTSIKIDZE",
"first_name": "NINO",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME100749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.