TINATIN GOTSIRIDZE MD
NPI 1255566394
Dermatology in Washington, DC

Q: What is Tinatin Gotsiridze's NPI number?

The NPI number for Tinatin Gotsiridze is 1255566394. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Q: What is Tinatin Gotsiridze's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since May 19, 2009PECOS EnrolledAccepts Medicare Assignment

1120 19TH ST NW STE 420, WASHINGTON, DC 20036(202) 955-6995(202) 955-3908 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Tinatin Gotsiridze Md NPPES

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

TINATIN GOTSIRIDZE MD (NPI 1255566394) is an individual dermatology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD047475) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of State University Of New York At Buffalo School Of Medicine (2009).

NPPES Registry Identity

NPI1255566394

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameTINATIN GOTSIRIDZECredential: MD

Location Address1120 19TH ST NW STE 420Washington, DC 20036-3606

Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 948-0291 · Fax (561) 859-0429

Phone(202) 955-6995

Fax(202) 955-3908

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2009

Enumeration DateMay 19, 2009

Last NPPES UpdateAugust 4, 2026

NPPES CertifiedAugust 4, 2026

✔ NPI 1255566394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in DC · MD047475✔ Licensed in NY · 2684651

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1120 19TH ST NW STE 420, Washington, DC 20036

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Secondary Practice Location 1

Location 1730 Weiland Rd, Greece Dermatological AssociatesRochester, NY 14626-3919 · Phone (585) 719-9600

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

Tinatin Gotsiridze 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 ID749414621

PECOS Enrollment IDI20190711000734

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.

Medicare Billing Reassignment

Medicare enrollment records show Tinatin Gotsiridze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Dermatology Of 19th Street LLC

Same address

Dermatology

1120 19TH ST NW STE 420
Washington, DC 20036

Reassigned Medicare billing, District of Columbia enrollment
4 clinicians in this Medicare group

NPI 1801166467 (202) 955-6995

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

328 services60 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

121 services88 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

111 services87 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

87 services69 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

52 services34 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

50 services46 patients

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301

This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.

30 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

20 services19 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

18 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Shaving of skin growth of body, arms, or legs, 0.5 cm or less 11300

This is a simple procedure where a small skin growth on your body, arms, or legs, measuring 0.5 cm or less, is carefully shaved off. It's typically quick, with minimal discomfort. It helps to prevent any potential health issues related to the growth.

14 services11 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20036 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

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 3

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

CAROLINE SMITH GHEE PA-C

Physician Assistant

1120 19TH ST NW STE 420
WASHINGTON, DC 20036

District of Columbia (202) 955-6995

SARIKA SNELL MD

Dermatology (Procedural Dermatology)

1120 19TH ST NW STE 420
WASHINGTON, DC 20036

District of Columbia (202) 955-6995

INTEGRATED DERMATOLOGY OF 19TH STREET LLC

Dermatology

1120 19TH ST NW STE 420
WASHINGTON, DC 20036

District of Columbia (202) 955-6995

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 Tinatin Gotsiridze's NPI number?

The NPI number for Tinatin Gotsiridze is 1255566394. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is Tinatin Gotsiridze located?

Tinatin Gotsiridze practices at 1120 19th St NW Ste 420, Washington, DC 20036. The listed phone number is (202) 955-6995.

What is Tinatin Gotsiridze's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Tinatin Gotsiridze enrolled in Medicare?

Yes. Tinatin Gotsiridze 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 organization bills Medicare for Tinatin Gotsiridze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tinatin Gotsiridze reassigns Medicare benefits to Integrated Dermatology Of 19th Street LLC (Washington, DC). The 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 Tinatin Gotsiridze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tinatin Gotsiridze was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.