NINO MIKABERIDZE M.D
NPI 1124459078
Internal Medicine - Rheumatology in New York, NY

Active since December 03, 2013PECOS Enrolled
91.25/100
CMS Quality Rating
2 5TH AVE STE 7, NEW YORK, NY 10011(646) 580-3538(844) 841-8382 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nino Mikaberidze M.d NPPES

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

NINO MIKABERIDZE M.D (NPI 1124459078) is an individual rheumatology provider in New York, New York, licensed in New York (275771) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1124459078
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameNINO MIKABERIDZECredential: M.D
Location Address2 5TH AVE STE 7New York, NY 10011-8855
Mailing Address2 5th Ave Ste 7New York, NY 10011-8855 · (646) 580-3538 · Fax (844) 841-8382
Fax(844) 841-8382
Sole ProprietorYes
Enumeration DateDecember 3, 2013
Last NPPES UpdateOctober 4, 2022
NPPES CertifiedOctober 4, 2022
NPI 1124459078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NY · 275771
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 275771 (NY)
2 5TH AVE STE 7, New York, NY 10011

Secondary Practice Location 1

Location 11400 Pelham Pkwy S Ste 3N1Bronx, NY 10461-1119 · Phone (718) 918-5640 · Fax (718) 918-7460

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nino Mikaberidze 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Physical Medicine & Rehabilitation
2 5TH AVE STE 7
NEW YORK, NY 10011
Physical Medicine & Rehabilitation
2 5TH AVE STE 7
NEW YORK, NY 10011
Anesthesiology (Pain Medicine)
2 5TH AVE STE 7
NEW YORK, NY 10011
Pain Medicine (Pain Medicine)
2 5TH AVE STE 7
NEW YORK, NY 10011
Physical Medicine & Rehabilitation (Pain Medicine)
2 5TH AVE STE 7
NEW YORK, NY 10011
Pain Medicine (Interventional Pain Medicine)
2 5TH AVE STE 7
NEW YORK, NY 10011

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 Nino Mikaberidze's NPI number?

The NPI number for Nino Mikaberidze is 1124459078. It was assigned to this individual provider in the NPPES registry on December 3, 2013.

Where is Nino Mikaberidze located?

Nino Mikaberidze practices at 2 5th Ave Ste 7, New York, NY 10011. The listed phone number is (646) 580-3538.

What is Nino Mikaberidze's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nino Mikaberidze enrolled in Medicare?

Yes. Nino Mikaberidze is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nino Mikaberidze was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.