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ANNA MRELASHVILI M.D.
NPI 1093028714
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fremont, CA

Active since July 22, 2010PECOS Enrolled
39650 LIBERTY ST, FREMONT, CA 94538(408) 524-5700(408) 523-3625 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2021, Apr 11, 2018, Mar 13, 2018 and 3 more (6 updates tracked since 2016).

About Anna Mrelashvili M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNA MRELASHVILI M.D. (NPI 1093028714) is an individual child & adolescent psychiatry provider in Fremont, California, licensed in California (A161653) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1093028714
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameANNA MRELASHVILICredential: M.D.
Location Address39650 LIBERTY STFremont, CA 94538-2223
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (408) 524-5700 · Fax (408) 523-3625
Phone(408) 524-5700
Fax(408) 523-3625
Sole ProprietorNo
Enumeration DateJuly 22, 2010
Last NPPES UpdateApril 14, 20216 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
✔ NPI 1093028714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in CA · A161653✔ Licensed in SC · 38616
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
39650 LIBERTY ST, Fremont, CA 94538
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Secondary Practice Location 1

Location 19 Richland Medical Park, Suite 110Columbia, SC 29203-6878 · Phone (803) 434-7961 · Fax (803) 434-7981

Other Identifiers 1

Medicaid386166SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Mrelashvili M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Anna Mrelashvili reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
13 mi
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1013950807 (650) 321-4121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEHA RAJKOTIA BADIYANI PT
Physical Therapist
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 490-1222
MR. MARIO WALTHER VICTOR MSW
Social Worker (Clinical)
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-2890
MS. SHAWNA VIANN WELTON MA
Counselor (Mental Health)
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-2690
ORIANA HUA PT
Physical Therapist
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-3900
ZENAIDA AGRAMONTE
Social Worker (Clinical)
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-2890
ALBERT LIU
Nurse Practitioner (Psychiatric/Mental Health)
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-2890
ALEXANDRA PAPA
Marriage & Family Therapist
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-2890
MRS. TRICIA JOY CELERIDAD PTA
Physical Therapy Assistant
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anna Mrelashvili's NPI number?

The NPI number for Anna Mrelashvili is 1093028714. It was assigned to this individual provider in the NPPES registry on July 22, 2010.

Where is Anna Mrelashvili located?

Anna Mrelashvili practices at 39650 Liberty St, Fremont, CA 94538. The listed phone number is (408) 524-5700.

What is Anna Mrelashvili's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Anna Mrelashvili enrolled in Medicare?

Yes. Anna Mrelashvili is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anna Mrelashvili's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Mrelashvili reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anna Mrelashvili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anna Mrelashvili was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.