NPIMap

Individual provider Active NPI

Tsiala Mozaidze

  • Hospitalist Physician
  • Scranton, PA
National Provider Identifier
1407134489
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD488260 Issued in PA
Practice address
1800 Mulberry St
Scranton, PA 18510-2369
Phone
(570) 703-7351
Fax
(570) 703-7801
NPI assigned
Jul 25, 2011
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT199516 PA
Internal Medicine Physician 207R00000X ME 120288 FL
Hospitalist Physician 208M00000X MD488260 PA Primary

Addresses

Primary practice location

1800 Mulberry St
Scranton, PA 18510-2369

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 703-7351

Other practice location 1

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 588-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141113000625 FL Practitioner - Internal Medicine 4183846876 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accountable Care Post Acute Care Services LLCGroup PAC ID 1456628601, 8 clinicians

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 798-8500

1711 6TH Ave S
Lake Worth, FL 33460-4333
Phone (561) 766-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 120288FLMDInternal Medicine Physician
MT199516PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QMC LLC Hospitalist CurrentSince May 14, 2019 Accepting new patients
Radial Health Southeast LLC Internal Medicine CurrentSince Aug 22, 2024 Accepting new patients
West Palm Beach Physician Group Inc Hospitalist CurrentSince Oct 20, 2014 Accepting new patients
First Docs PC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Accountable Care Post Acute Care Services LLC CurrentSince Feb 7, 2025 Accepting new patients
Accountable Care Hospitalist Group Internal Medicine CurrentSince Apr 15, 2020 Accepting new patients
Hospitalist Group of the Palm Beaches PA Internal Medicine CurrentSince Feb 26, 2018 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000

611 S A St
Lake Worth Beach, FL 33460
Phone (561) 585-2997

2180 Hypoluxo Rd
Lantana, FL 33462
Phone (561) 582-3000

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1407134489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-703-7351",
            "fax_number": "570-703-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102369",
            "telephone_number": "570-703-7351",
            "fax_number": "570-703-7801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 S Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334621149",
            "country_code": "US",
            "telephone_number": "561-588-4844",
            "fax_number": "877-519-4595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOZAIDZE",
        "first_name": "TSIALA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT199516",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 120288",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD488260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.