NINO ISAKADZE
NPI 1265819940
Internal Medicine - Cardiovascular Disease in Baltimore, MD

NPI Status: Active since May 01, 2015

Contact Information

4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
Phone: (410) 550-5568
Fax: (410) 550-0470

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  • Individual
  • Female
  • Years of Experience 12
  • Internal Medicine
  • Cardiovascular Disease
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About NINO ISAKADZE

This page provides the complete NPI Profile along with additional information for Nino Isakadze, an internist established in Baltimore, Maryland with a medical specialization in Internal Medicine, focusing in cardiovascular disease and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1265819940 assigned on May 2015. The practitioner's primary taxonomy code is 207RC0000X with license number D0100936 (MD). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1265819940
Provider Name
NINO ISAKADZE
Gender
Female
Entity Type
Individual
Location Address
4940 EASTERN AVE BALTIMORE, MD 21224
Location Phone
(410) 550-5568
Location Fax
(410) 550-0470
Mailing Address
6201 GREENLEIGH AVE MIDDLE RIVER, MD 21220
Mailing Phone
(410) 933-6423
Mailing Fax
(410) 550-0470
Medical School Name
OTHER
Graduation Year
2014
Is Sole Proprietor?
Yes
Enumeration Date
05-01-2015
Last Update Date
08-23-2024
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An internist like Nino Isakadze is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 1364 Clifton Rd NE
    Atlanta, GA 30322
    (404) 528-8099

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

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
D0100936
License State
MD
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Medicare Participation & PECOS Enrollment Status

Nino Isakadze is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Nino Isakadze is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1355644568

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240909003383

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21224 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $139.05
  • Minimum New Patient Price $60.73
  • Maximum New Patient Price $183.44
  • Average New Patient Copayment $34.76
  • Minimum New Patient Copayment $15.18
  • Maximum New Patient Copayment $45.86

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.47
  • Minimum Established Patient Price $19.6
  • Maximum Established Patient Price $149.17
  • Average Established Patient Copayment $18.86
  • Minimum Established Patient Copayment $4.9
  • Maximum Established Patient Copayment $37.29

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nino Isakadze is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
JOHNS HOPKINS HOSPITAL, THE600 NORTH WOLFE STREET
BALTIMORE, MD 21287
(410) 955-5000Acute Care Hospitals
JOHNS HOPKINS BAYVIEW MEDICAL CENTER4940 EASTERN AVENUE
BALTIMORE, MD 21224
(410) 550-0123Acute Care Hospitals
JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER5755 CEDAR LANE
COLUMBIA, MD 21044
(410) 740-7890Acute Care Hospitals

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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 1265819940, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 8 → 16 → 7 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 6 + 1 + 1 + 8 + 9 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1265819940.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Internal Medicine (Nephrology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Psychiatry & Neurology (Psychiatry)
4940 EASTERN AVE
BALTIMORE, MD 21224
Psychologist
4940 EASTERN AVE
BALTIMORE, MD 21224
Emergency Medicine
4940 EASTERN AVE
BALTIMORE, MD 21224
Nurse Anesthetist, Certified Registered
4940 EASTERN AVE
BALTIMORE, MD 21224
Internal Medicine
4940 EASTERN AVE
BALTIMORE, MD 21224
Nurse Anesthetist, Certified Registered
4940 EASTERN AVE
BALTIMORE, MD 21224
Psychologist (Clinical)
4940 EASTERN AVE
BALTIMORE, MD 21224
Orthopaedic Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Psychiatry & Neurology (Psychiatry)
4940 EASTERN AVE
BALTIMORE, MD 21224
Pediatrics
4940 EASTERN AVE
BALTIMORE, MD 21224
Internal Medicine
4940 EASTERN AVE
BALTIMORE, MD 21224
Psychiatry & Neurology (Psychiatry)
4940 EASTERN AVE
BALTIMORE, MD 21224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265819940, enumerated as an "individual" on May 01, 2015.

The provider is located at 4940 EASTERN AVE BALTIMORE, MD 21224 and the phone number is (410) 550-5568.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

Nino Isakadze is affiliated with: JOHNS HOPKINS HOSPITAL, THE, JOHNS HOPKINS BAYVIEW MEDICAL CENTER and JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER.