NPIMap

Individual provider Active NPI

Tamar Bejanishvili, MD

  • Internal Medicine Physician
  • Bedford, OH
National Provider Identifier
1376558767
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35079230 Issued in OH
Practice address
50 Blaine Ave
Bedford, OH 44146-2782
Phone
(440) 735-2800
Fax
(440) 786-2723
NPI assigned
Jul 31, 2006
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35079230 OH Primary

Addresses

Primary practice location

50 Blaine Ave
Bedford, OH 44146-2782

Mailing address

PO Box 8792
Belfast, ME 04915-8792
Phone (440) 735-2800

Other identifiers 1

IdentifierTypeStateIssuer
2470624MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tamarbejanishvili@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000739 OH Practitioner - Internal Medicine 7810982543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

50 Blaine Ave
Suite 2100
Bedford, OH 44146-2783
Phone (216) 383-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35079230OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Feb 1, 2011 Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Regional Practices LLC Internal Medicine Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

50 Blaine Ave
Ste 2100
Bedford, OH 44146
Phone (440) 735-0891

88 Center Rd
Ste 250A
Bedford, OH 44146
Phone (440) 735-2804

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

730 Som Center Rd
Ste 230
Mayfield Vlg, OH 44143
Phone (440) 461-6477

Interoperability endpoints

  • Direct secure messaging: tamarbejanishvili@uhps.allscriptsdirect.net
  • Direct secure messaging: tbejanishvili37495@ehrdirect.uhhospitals.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1376558767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8792",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158792",
            "telephone_number": "440-735-2800",
            "fax_number": "440-786-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BLAINE AVE",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462782",
            "telephone_number": "440-735-2800",
            "fax_number": "440-786-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJANISHVILI",
        "first_name": "TAMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35079230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2470624",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamarbejanishvili@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "50 Blaine Ave Ste 2100",
            "city": "Bedford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441462783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

Verify at the official NPI Registry.