Individual provider Active NPI

Nikolay Shavladze, M.D.

  • Vascular & Interventional Radiology Physician
  • Kingwood, TX
National Provider Identifier
1699186775
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
86737 Issued in GA
Practice address
22999 Highway 59 N
Kingwood, TX 77339-4412
Phone
(346) 323-3036
NPI assigned
May 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X 86737 GA Primary
Diagnostic Radiology Physician 2085R0202X 86737 GA

Addresses

Primary practice location

22999 Highway 59 N
Kingwood, TX 77339-4412

Mailing address

22999 Highway 59 N
Kingwood, TX 77339-4412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210607001228 GA Practitioner - Diagnostic Radiology 5698175008 Reassigns benefits to 2 organizations
I20240417002867 AL Practitioner - Diagnostic Radiology 5698175008 Reassigns benefits to 1 organization
I20250626001655 TX Practitioner - Diagnostic Radiology 5698175008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

1103 E Houston St
Houston ER 24/7 Cleveland
Cleveland, TX 77327-4670
Phone (281) 593-8350

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

22999 Hwy 59 N
Humble, TX 77339-4412
Phone (713) 461-3573

38 Lakeview Dr
Galveston, TX 77551-1564
Phone (281) 870-4592

504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (713) 461-3573

8780 Hwy 6 B
MH Conv Care Sienna Plantation
Friendswood, TX 77549
Phone (281) 778-1802

Hospital & facility affiliations

  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • HCA Houston Healthcare Kingwood Inpatient rehabilitation facility, Kingwood, TX, CCN 45T775

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 30, 2021 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Apr 19, 2025 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology Current Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology Past Accepting new patients

Locations

710 Center St
Ste B
Columbus, GA 31901

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

1831 5th Ave
Ste B
Columbus, GA 31904

100 Frist Ct
Ste B
Columbus, GA 31909

1800 10th Ave
Ste C
Columbus, GA 31901
Phone (706) 571-1120

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

616 19th St
Ste 300
Columbus, GA 31901
Phone (706) 320-8685

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1699186775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394412",
            "telephone_number": "346-323-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVLADZE",
        "first_name": "NIKOLAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "86737",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "86737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.