Raoul G Biniaurishvili, M.D.,PH.D

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD048245L Issued in PA

Practice address

11685-C Bustleton Ave
Hendrix Center
Philadelphia, PA 19116

Phone

(215) 464-7820

Fax

(215) 464-7808

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1851326466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CHRISTOPHER DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402322",
            "telephone_number": "609-497-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685-C BUSTLETON AVE",
            "address_2": "HENDRIX CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "215-464-7820",
            "fax_number": "215-464-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINIAURISHVILI",
        "first_name": "RAOUL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD048245L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014094500003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shani Cora Bing
• Ellie Jane Bingaman, OTR
• Mark Andrew Bingel-McKillips
• Cole Bingham, DO
• Inessa G. Biniaurishvili, M.D.
• Laura Easterly Binkley, CRNP
• Mark Binkley, M.D.
• Heather Marie Binning, BCBA
• Marshall KL Binns, DDS
• Shemeica Binns, MD

• Neurology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.