ANZOR MODZGVRESCHVILI RD
NPI 1245866862
Dietitian, Registered - Nutrition, Gerontological in Detroit, MI
NPI Status: Active since March 15, 2020
Contact Information
15750 JOY RD
DETROIT, MI
ZIP 48228
Phone: (313) 273-6850
- Individual
- Male
- Dietitian, Registered
- Nutrition, Gerontological
About ANZOR MODZGVRESCHVILI
This page provides the complete NPI Profile along with additional information for Anzor Modzgvreschvili, a provider established in Detroit, Michigan with a medical specialization in Dietitian, Registered, focusing in nutrition, gerontological . The healthcare provider is registered in the NPI registry with number 1245866862 assigned on March 2020. The practitioner's primary taxonomy code is 133VN1101X with license number C05672 (MD). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1245866862
- Provider Name
- ANZOR MODZGVRESCHVILI RD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 15750 JOY RD DETROIT, MI 48228
- Location Phone
- (313) 273-6850
- Mailing Address
- 6201 GREENLEIGH AVE MIDDLE RIVER, MD 21220
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-15-2020
- Last Update Date
- 09-20-2022
- Code Navigator
Location Map
Secondary Locations
- 8600 Old Georgetown Rd
Bethesda, MD 20814
(301) 896-2578
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered Nutrition, Gerontological
- Taxonomy Code
- 133VN1101X
- Type
- Dietary & Nutritional Service Providers
- License No.
- C05672
- License State
- MD
- Taxonomy Description
- An individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, home care, palliative care, community-based nutrition, food service, correctional facilities, and government programs. RDN who works indirectly with gerontological nutrition through roles in management, industry, education, and research.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133VN1101X | Dietary & Nutritional Service Providers | Dietitian, Registered |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Diabetes outpatient self-management training services, individual, per 30 minutes
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
This service was performed 300 times for 125 patientsReviews for ANZOR MODZGVRESCHVILI RD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245866862, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245866862, enumerated as an "individual" on March 15, 2020.
The provider is located at 15750 JOY RD DETROIT, MI 48228 and the phone number is (313) 273-6850.
Dietitian, Registered with taxonomy code 133VN1101X and a focus in Nutrition, Gerontological.
