Individual provider Active NPI

David Pichkadze, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1568419455
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233824 Issued in NY
Practice address
740 64TH St
Brooklyn, NY 11220-4714
Phone
(718) 439-2000
Fax
(718) 439-2004
NPI assigned
May 27, 2006
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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 233824 NY Primary

Addresses

Primary practice location

740 64TH St
Brooklyn, NY 11220-4714

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

932 Southern Boulevard
Bronx, NY 10459-4506
Phone (646) 680-5250

Other practice location 2

215 East 95th Street
New York, NY 10128-4007
Phone (212) 996-8000

Other practice location 3

4337 Broadway
New York, NY 10033-2411
Phone (212) 568-6300

Other practice location 4

2044 Westchester Avenue
Bronx, NY 10462-4559
Phone (646) 680-5200

Other practice location 5

101 Pennsylvania Avenue
Brooklyn, NY 11207-2428
Phone (718) 240-2000

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
I20080211000676 NY Practitioner - Internal Medicine 6608959879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

740 64TH St
Brooklyn, NY 11220-4714
Phone (718) 439-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Siuc Medical PC PastSince Mar 1, 2019 Accepting new patients

Locations

932 Southern Blvd
Bronx, NY 10459
Phone (646) 680-5200

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

740 64th St
Brooklyn, NY 11220
Phone (718) 439-2000

21 E 22nd St
New York, NY 10010
Phone (212) 460-7800

215 E 95th St
New York, NY 10128
Phone (212) 423-3111

4337 Broadway
New York, NY 10033
Phone (212) 523-5201

55 Water St
Fl 2
New York, NY 10041

590 5th Ave
New York, NY 10036
Phone (212) 582-7117

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: davidpichkadze@mai.allscriptsdirect.net
  • Direct secure messaging: dpichkadze5580@direct.acpny.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 4

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1568419455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 64TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204714",
            "telephone_number": "718-439-2000",
            "fax_number": "718-439-2004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 Southern Boulevard",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104594506",
            "country_code": "US",
            "telephone_number": "646-680-5250",
            "fax_number": "646-751-6937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 East 95th Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101284007",
            "country_code": "US",
            "telephone_number": "212-996-8000",
            "fax_number": "212-423-3127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4337 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100332411",
            "country_code": "US",
            "telephone_number": "212-568-6300",
            "fax_number": "212-544-5094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2044 Westchester Avenue",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104624559",
            "country_code": "US",
            "telephone_number": "646-680-5200",
            "fax_number": "646-751-6937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Pennsylvania Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112072428",
            "country_code": "US",
            "telephone_number": "718-240-2000",
            "fax_number": "718-240-2260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICHKADZE",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.