Individual provider Active NPI

Tamara Benyashvili, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1548554074
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
279657 Issued in NY
Practice address
9 W 31St St
9B
New York, NY 10001-4474
Phone
(212) 203-8849
NPI assigned
Jun 1, 2011
Last updated
Dec 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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 279657 NY Primary
Internal Medicine Physician 207R00000X 0101259282 VA
Hepatology Physician 207RI0008X 036.135063 IL

Addresses

Primary practice location

9 W 31St St
9B
New York, NY 10001-4474

Mailing address

9 W 31St St
New York, NY 10001-4474
Phone (212) 203-8849

Other names 1

  • Dr. Tamara Iashvili Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20151030001907 NY Practitioner - Internal Medicine 3072823236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
73.63 of 100Reported as group
Quality
64.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101259282VAMDInternal Medicine Physician
036.135063ILMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients

Locations

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1548554074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W 31ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014474",
            "telephone_number": "212-203-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W 31ST ST",
            "address_2": "9B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014474",
            "telephone_number": "212-203-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENYASHVILI",
        "first_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "279657",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101259282",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "IL",
            "license": "036.135063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "IASHVILI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.