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ASIA TABATADZE M.D
NPI 1366339913
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Active since June 18, 2025PECOS Enrolled
160 ROBBINS STREET, CHASE OUTPATIENT CENTER, WATERBURY, CT 06708(203) 573-7284 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Asia Tabatadze M.d NPPES

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

ASIA TABATADZE M.D (NPI 1366339913) is an individual student in an organized health care education/training program in Waterbury, Connecticut and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366339913
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameASIA TABATADZECredential: M.D
Location Address160 ROBBINS STREET, CHASE OUTPATIENT CENTERWaterbury, CT 06708
Mailing Address64 Robbins Street, Waterbury HospitalWaterbury, CT 06708
Phone(203) 573-7284
Sole ProprietorNo
Enumeration DateJune 18, 2025
Last NPPES UpdateAugust 27, 2025
✔ NPI 1366339913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
160 ROBBINS STREET, CHASE OUTPATIENT CENTER, Waterbury, CT 06708
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Asia Tabatadze M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

GURJOT SINGH MD
Student in an Organized Health Care Education/Training Program
160 ROBBINS STREET, CHASE OUTPATIENT CENTER
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7284
MRS. SUKHDA MONGA
Student in an Organized Health Care Education/Training Program
160 ROBBINS STREET, CHASE OUTPATIENT CENTER
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7284

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 Asia Tabatadze's NPI number?

The NPI number for Asia Tabatadze is 1366339913. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Asia Tabatadze located?

Asia Tabatadze practices at 160 Robbins Street, Chase Outpatient Center, Waterbury, CT 06708. The listed phone number is (203) 573-7284.

What is Asia Tabatadze's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Asia Tabatadze enrolled in Medicare?

Yes. Asia Tabatadze is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Asia Tabatadze was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.