KETI GVAZAVA MD
NPI 1134005242
Student in an Organized Health Care Education/Training Program in Norfolk, VA
About Keti Gvazava Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETI GVAZAVA MD (NPI 1134005242) is an individual student in an organized health care education/training program in Norfolk, Virginia, licensed in Virginia (0116041042) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keti Gvazava Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
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 Keti Gvazava's NPI number?
The NPI number for Keti Gvazava is 1134005242. It was assigned to this individual provider in the NPPES registry on August 13, 2025.
Where is Keti Gvazava located?
Keti Gvazava practices at 600 Gresham Dr, Norfolk, VA 23507. The listed phone number is (757) 388-3000.
What is Keti Gvazava's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Keti Gvazava enrolled in Medicare?
Yes. Keti Gvazava is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Keti Gvazava was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Keti Gvazava, MD · NPI 1134005242
Student in an Organized Health Care Education/Training Program provider in Norfolk, Virginia. Individual provider, active in the CMS NPPES registry since August 13, 2025.
## Identity
- **NPI:** 1134005242 (Entity type: Individual)
- **Enumerated:** August 13, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 0116041042 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 GRESHAM DR, Norfolk, VA 23507-1904
- **Phone:** (757) 388-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1134005242) · Data from the CMS NPPES public registry.