NPIMap

Individual provider Active NPI

Levan Gakhokidze, MD

  • Nephrology Physician
  • Portsmouth, VA
National Provider Identifier
1396353181
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101283991 Issued in VA
Practice address
3640 High St Ste 2G
Portsmouth, VA 23707-3213
Phone
(757) 977-1110
Fax
(757) 977-1107
NPI assigned
Jul 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101283991 VA Primary

Addresses

Primary practice location

3640 High St Ste 2G
Portsmouth, VA 23707-3213

Mailing address

6261 E Virginia Beach Blvd Ste 201
Norfolk, VA 23502-2964
Phone (757) 466-9288

Other practice location 1

6261 E Virginia Beach Blvd Ste 201
Norfolk, VA 23502-2964
Phone (757) 466-9288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250731001081 VA Practitioner - Nephrology 6800304031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Tidewater LTDGroup PAC ID 3173426558, 24 clinicians

Practice addresses (Care Compare)

6160 Kempsville Cir
Suite 302a
Norfolk, VA 23502-3936
Phone (757) 466-9288

Hospital & facility affiliations

  • Fresenius Kidney Care North Suffolk Dialysis facility, Suffolk, VA, CCN 492716
  • Rai - Airline-Portsmouth 7253 Dialysis facility, Portsmouth, VA, CCN 492592
  • Rai - Goode Way-Portsmouth Dialysis facility, Portsmouth, VA, CCN 492554
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101283991VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Tidewater LTD Nephrology CurrentSince Aug 1, 2025 Accepting new patients

Locations

6160 Kempsville Cir
Ste 302A
Norfolk, VA 23502
Phone (757) 466-9288

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

301 Riverview Ave
Ste 600
Norfolk, VA 23510
Phone (757) 627-7301

6261 E Virginia Beach Blvd
Ste 201
Norfolk, VA 23502
Phone (757) 466-9288

3640 High St
Ste 2G
Portsmouth, VA 23707
Phone (757) 483-6100

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000397

Organizations & group practices 1

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1396353181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 E VIRGINIA BEACH BLVD STE 201",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022964",
            "telephone_number": "757-466-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 HIGH ST STE 2G",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073213",
            "telephone_number": "757-977-1110",
            "fax_number": "757-977-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6261 E Virginia Beach Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235022964",
            "country_code": "US",
            "telephone_number": "757-466-9288",
            "fax_number": "757-461-6642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAKHOKIDZE",
        "first_name": "LEVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101283991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.