Nona Khutsishvili, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0006732 Issued in MD

Practice address

1115 S Main St
Bel Air, MD 21014-5460

Phone

(410) 879-7404

NPI assigned

Feb 20, 2018

Last updated

Feb 20, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bernstein and Robinson Dermatology P.a.Group PAC ID 7911000104, 6 clinicians

MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.04 of 100Reported as group

Quality

76.7

Promoting interoperability

100

Improvement activities

40

Cost

73.44

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Bernstein & Robinson Dermatology P.a.

  • Dermatology Physician
  • Bel Air, MD
  • NPI 1467560177
  Medicare reassignment Care Compare group
• MNR Industries, LLC

  dba ExpressCare of Bel Air

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1457478703
  Medicare reassignment Care Compare group
• MNR Industries, LLC

  dba ExpressCare of Largo

  • Urgent Care Clinic/Center
  • Upper Marlboro, MD
  • NPI 1194195008
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1649089418
  NPD
• MNR Industries LLC

  dba ExpressCare of Mount Airy

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146
  NPD (past)
• MNR Industries, LLC.

  dba Children's Urgent Care of Westminster

  • Urgent Care Clinic/Center
  • Westminster, MD
  • NPI 1922686815
  NPD (past)

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1457851966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 POINSETTIA CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091108",
            "telephone_number": "410-504-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145460",
            "telephone_number": "410-879-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUTSISHVILI",
        "first_name": "NONA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Ballou Khanna, FNP-C
• Sid Zubair Kharal, MD
• Nishu Kharel, PHARMD
• Muhammad Rizwan-Ul-Haq Khawaja, MD, MPH
• Shilpi Khosla, M.D.
• Kidnetic Physical Therapy - LLC
• Kelly A Kiederer, LCPC
• Danielle Kiler, PA-C
• Marie Kiley
• Sophia V Killias, M.S., CCC-SLP

• Physician Assistant in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.