Eka Davitachvili, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N006252 Issued in NY

Practice address

1705 E 17TH St Lowr Level
Brooklyn, NY 11229-2645

Phone

(917) 399-0361

NPI assigned

Nov 11, 2008

Sex

Female

Sole proprietor

Yes

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 NY

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

Podiatry

Education

New York College of Podiatric Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

23.67 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

78.91

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Linda Podiatry PC

  • Podiatrist
  • New York, NY
  • NPI 1356623771
  Medicare reassignment NPD Authorized official
• David Tavdy Medical Care PC

  • Internal Medicine Physician
  • Forest Hills, NY
  • NPI 1245746064
  NPD
• Rimma Gelbert Medical PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1023209640
  NPD (past)

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1376797894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ORCHARD ST",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321521",
            "telephone_number": "917-399-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E 17TH ST LOWR LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292645",
            "telephone_number": "917-399-0361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11045 Queens Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754457",
            "country_code": "US",
            "telephone_number": "917-399-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 E 79th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100750819",
            "country_code": "US",
            "telephone_number": "917-399-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Warner Ave",
            "address_purpose": "LOCATION",
            "city": "Roslyn Heights",
            "state": "NY",
            "postal_code": "115771000",
            "country_code": "US",
            "telephone_number": "917-399-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16411 Chapin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114321816",
            "country_code": "US",
            "telephone_number": "917-399-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16501 Chapin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114321807",
            "country_code": "US",
            "telephone_number": "917-399-0361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVITACHVILI",
        "first_name": "EKA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette V. Davis, OT/L
• Zennova Davis
• Jayne Dee Davison, LCSW
• Wesley L. Davison, M.D.
• Davita of New York Inc
• Nataliya Davitadi
• Brian John Davitt
• Davlatov Dental P.C.
• Mamura Davlyatova
• Zulfiya Davranova

• Foot & Ankle Surgery Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.