NPIMap

Individual provider Active NPI

Tea Tchelidze, MD

  • Internal Medicine Physician
  • Geneva, OH
National Provider Identifier
1508959693
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35085308 Issued in OH
Practice address
254 S Broadway
Geneva, OH 44041-1807
Phone
(216) 383-0100
Fax
(216) 383-6481
NPI assigned
Oct 2, 2006
Last updated
May 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35085308 OH Primary

Addresses

Primary practice location

254 S Broadway
Geneva, OH 44041-1807

Mailing address

PO Box 92938
Cleveland, OH 44194-2938
Phone (440) 466-4641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050711000426 OH Practitioner - Internal MedicinePractitioner - Interventional Radiology 1951337161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians
Menorah Park Center for Senior LivingGroup PAC ID 3577469444, 79 clinicians

Practice addresses (Care Compare)

26900 Cedar Rd
Beachwood, OH 44122-1191
Phone (216) 839-3000

27100 Cedar Rd
Beachwood, OH 44122-1109

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35085308OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Nov 6, 2017 Accepting new patients
Niobrara Valley Hospital Corporation Past Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients
University Primary Care Practices Inc Internal Medicine Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

26900 Cedar Rd
Cleveland, OH 44122
Phone (216) 839-3000

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/niobra-b6726789

Organizations & group practices 5

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1508959693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92938",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441942938",
            "telephone_number": "440-466-4641",
            "fax_number": "440-466-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 S BROADWAY",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411807",
            "telephone_number": "216-383-0100",
            "fax_number": "216-383-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHELIDZE",
        "first_name": "TEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35085308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, OH

Sources for this page

Verify at the official NPI Registry.