DR. KETEVAN BEREKASHVILI MD
NPI 1114284734
Psychiatry & Neurology - Vascular Neurology in Brooklyn, NY
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
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
7Medicare enrollment records show Ketevan Berekashvili reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- 638 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Tjh Medical Services PC
- 497 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- 738 clinicians in this Medicare group
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 clinicians in this Medicare group
Flushing, NY 11355
- Reassigned Medicare billing, New York enrollment
- 327 clinicians in this Medicare group
East Hills, NY 11548
- Reassigned Medicare billing, New Jersey and New York enrollments
- 13 clinicians in this Medicare group
Utica, NY 13502
- Reassigned Medicare billing, New York enrollment
- 657 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYSouth Brooklyn Health
Acute Care Hospitals · Brooklyn, NYPhysician 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.
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.
BROOKLYN, NY 11220
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.
Which organizations bill Medicare for Ketevan Berekashvili's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ketevan Berekashvili reassigns Medicare benefits to 7 organizations: Coney Island Medical Practice Plan, P.C. (Brooklyn, NY), Tjh Medical Services, P.C. (Jamaica, NY), Jamaica Hospital (Jamaica, NY), Physician Affiliate Group Of New York PC (New York, NY), Flushing Hospital & Medical Center (Flushing, NY) and 2 more organizations, listed in the Medicare section above. Each 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 Ketevan Berekashvili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Ketevan Berekashvili, MD · NPI 1114284734
Vascular Neurology physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since April 20, 2012.
## Identity
- **NPI:** 1114284734 (Entity type: Individual)
- **Enumerated:** April 20, 2012
- **Primary specialty:** Psychiatry & Neurology - Vascular Neurology · taxonomy 2084V0102X
- **State license:** 286750 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 211 61ST ST APT 1, Brooklyn, NY 11220-3782
- **Phone:** (718) 630-1270 · **Fax:** (201) 387-1036
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Coney Island Medical Practice Plan, P.C. (NPI 1386951762, Brooklyn, NY); Tjh Medical Services, P.C. (NPI 1184670465, Jamaica, NY); Jamaica Hospital (NPI 1477505220, Jamaica, NY); Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY); Flushing Hospital & Medical Center (NPI 1548217763, Flushing, NY); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** March 14, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114284734) · Data from the CMS NPPES public registry.