Nana S Amiridze, MD, PHD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

ME105768 Issued in FL

Practice address

1251 S Hickory St
Melbourne, FL 32901-3221

Phone

(321) 434-3420

Fax

(321) 434-3423

NPI assigned

Sep 23, 2005

Last updated

Jan 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: namiridze19251@jupitermedicalcenter.direct-ci.com

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.

• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  Neuroradiology

  Medicare reassignment NPD
• Florida United Radiology LC

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1407809395
  NPD
• Sheridan Radiology Services of Pinellas, Inc.

  dba DBA Pinellas Radiology Associates

  • Diagnostic Radiology Physician
  • West Palm Beach, FL
  • NPI 1609211432
  NPD
• Kapiolani Radiology Services LLC

  • Diagnostic Radiology Physician
  • Wailuku, HI
  • NPI 1093073827
  NPD (past)
• Shipley's Imaging, LLC

  • Diagnostic Radiology Physician
  • Millersville, MD
  • NPI 1861476343
  NPD (past)
• University Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1245245307

  Neuroradiology

  NPD (past)
• University Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1992511265

  Neuroradiology

  NPD (past)
• University of Maryland Diagnostic Imaging Specialists P a

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1154335487

  Neuroradiology

  NPD (past)

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

• JFK Medical Center Limited Partnership

  dba HCA Florida JFK Hospital

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1447246509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561600",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329561600",
            "telephone_number": "321-434-4660",
            "fax_number": "321-259-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S HICKORY ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013221",
            "telephone_number": "321-434-3420",
            "fax_number": "321-434-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRIDZE",
        "first_name": "NANA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0060165",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME105768",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME105768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405376100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "60340002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0063",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001680100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• America's Mde
• American Eagle Eau Gallie LLC
• American Heart Scan, Incorporated
• Derek Amerman, CAA
• Naushad Amin, MD
• John David Ammarell
• Viralkumar S Amrutiya, MD
• Ams Psychiatry, Inc
• Amsurg Melbourne Anesthesia LLC
• Janet A Anciro, MD

• Neuroradiology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Neuroradiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.