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DR. KETEVAN BEREKASHVILI MD
NPI 1114284734
Psychiatry & Neurology - Vascular Neurology in Brooklyn, NY

Active since April 20, 2012PECOS EnrolledAccepts Medicare Assignment
211 61ST ST APT 1, BROOKLYN, NY 11220(718) 630-1270(201) 387-1036 Get Directions Write a Review

NPPES record last updated: March 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 14, 2019, Jan 11, 2019 (2 updates tracked since 2019).

About Dr. Ketevan Berekashvili Md NPPES

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

DR. KETEVAN BEREKASHVILI MD (NPI 1114284734) is an individual vascular neurology provider in Brooklyn, New York, licensed in New York (286750) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains a secondary practice location in Greenvale.

NPPES Registry Identity

NPI1114284734
Entity TypeIndividualFemale
Primary Taxonomy2084V0102X
Provider Legal NameDR. KETEVAN BEREKASHVILICredential: MD
Location Address211 61ST ST APT 1Brooklyn, NY 11220-3782
Mailing Address211 61 Street, Apt 1Brooklyn, NY 11220 · (718) 630-1270 · Fax (201) 387-1036
Phone(718) 630-1270
Fax(201) 387-1036
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 20, 2012
Last NPPES UpdateMarch 14, 20192 updates tracked since enumeration
✔ NPI 1114284734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
License✔ Licensed in NY · 286750
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 286750 (NY)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 286750 (NY)
211 61ST ST APT 1, Brooklyn, NY 11220
Open in Google Maps ↗

Secondary Practice Location 1

Location 12200 Northern Blvd Ste 207Greenvale, NY 11548-1220 · Phone (516) 466-1029 · Fax (201) 387-1036

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ketevan Berekashvili Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810234689
PECOS Enrollment IDI20190201000432
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

South Brooklyn Health

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330196
Location2601 Ocean ParkwayBrooklyn, NY 11235 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

BRENT FLUSTY D.O.
Psychiatry & Neurology (Vascular Neurology)
211 61ST ST APT 1
BROOKLYN, NY 11220
Kings County (718) 630-1270
JEFFREY FARKAS MD
Radiology (Vascular & Interventional Radiology)
211 61ST ST APT 1
BROOKLYN, NY 11220
Kings County (718) 630-1270

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 Ketevan Berekashvili's NPI number?

The NPI number for Ketevan Berekashvili is 1114284734. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Where is Ketevan Berekashvili located?

Ketevan Berekashvili practices at 211 61st St Apt 1, Brooklyn, NY 11220. The listed phone number is (718) 630-1270.

What is Ketevan Berekashvili's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Ketevan Berekashvili enrolled in Medicare?

Yes. Ketevan Berekashvili is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ketevan Berekashvili affiliated with any hospitals?

According to CMS data, Ketevan Berekashvili is affiliated with Wynn Hospital and South Brooklyn Health.

When was this NPI record last updated?

The NPPES record for Ketevan Berekashvili was last updated on March 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.