DR. ANNA SHENGELIA M.D.
NPI 1265818199
Internal Medicine - Critical Care Medicine in Bronx, NY

Active since August 03, 2015PECOS EnrolledAccepts Medicare Assignment
234 E 149TH ST, BRONX, BRONX, NY 10451(718) 579-5874(718) 579-4836 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Anna Shengelia M.d. NPPES

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

DR. ANNA SHENGELIA M.D. (NPI 1265818199) is an individual critical care medicine provider in Bronx, New York, licensed in Pennsylvania (MD479847) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1265818199
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. ANNA SHENGELIACredential: M.D.
Location Address234 E 149TH ST, BRONXBronx, NY 10451-5504
Mailing Address234 E 149th St, BronxBronx, NY 10451-5504 · (718) 579-5874 · Fax (718) 579-4836
Fax(718) 579-4836
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 3, 2015
Last NPPES UpdateJanuary 23, 2023
NPPES CertifiedJanuary 23, 2023
✔ NPI 1265818199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in PA · MD479847
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
234 E 149TH ST, Bronx, NY 10451

Accepted Insurance

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. Anna Shengelia M.d. 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 ID6901213271
PECOS Enrollment IDI20231015000006
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 Reassignments

5

Medicare enrollment records show Anna Shengelia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Services
234 E 149TH ST, STE 8D200
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 971 clinicians in this Medicare group
General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
Psychiatry
675 HOES LN W
Piscataway, NJ 08854
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
Family Medicine
21 CORPORATE DR, STE. 1
Easton, PA 18045
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 161 clinicians in this Medicare group
General Practice
500 MAIN ST
Olean, NY 14760
  • Reassigned Medicare billing, New York enrollment
  • 163 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.

Areas of Expertise CMS Part B claims 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
389 services249 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
28 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services12 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
20 services19 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10451 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Dermatology
234 E 149TH ST
BRONX, NY 10451
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Social Worker (Clinical)
234 E 149TH ST
BRONX, NY 10451
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451

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 Anna Shengelia's NPI number?

The NPI number for Anna Shengelia is 1265818199. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Anna Shengelia located?

Anna Shengelia practices at 234 E 149th St Bronx, Bronx, NY 10451. The listed phone number is (718) 579-5874.

What is Anna Shengelia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Anna Shengelia enrolled in Medicare?

Yes. Anna Shengelia 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 Anna Shengelia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Shengelia reassigns Medicare benefits to 5 organizations: Downtown Bronx Medical Associates PC (Bronx, NY), Harlem Medical Associates PC (New York, NY), Rutgers Health-Rwj Scleroderma Program (Piscataway, NJ), Steward Medical Group Inc. (Easton, PA) and Olean General Hospital (Olean, NY). 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 Anna Shengelia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Shengelia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and CareSource list Anna Shengelia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anna Shengelia affiliated with any hospitals?

According to CMS data, Anna Shengelia is affiliated with Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Anna Shengelia was last updated on January 23, 2023. 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.