ANN R DATUNASHVILI M.D.
NPI 1376544932
Internal Medicine - Geriatric Medicine in New Haven, CT

Active since August 04, 2005PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
874 HOWARD AVE, NEW HAVEN, CT 06519(203) 688-8200(203) 688-8204 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ann R Datunashvili M.d. NPPES

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

ANN R DATUNASHVILI M.D. (NPI 1376544932) is an individual geriatric medicine provider in New Haven, Connecticut, licensed in Connecticut (039938) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1376544932
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameANN R DATUNASHVILICredential: M.D.
Location Address874 HOWARD AVENew Haven, CT 06519-1106
Mailing Address874 Howard AveNew Haven, CT 06519-1106 · (203) 688-8200 · Fax (203) 688-8204
Fax(203) 688-8204
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 4, 2005
Last NPPES UpdateMarch 24, 2017
NPI 1376544932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in CT · 039938
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
874 HOWARD AVE, New Haven, CT 06519

Other Identifiers 13

Other3621604CT · Aetna
Other039938CT · Connecticare
Medicaid001399387CT
OtherP3307906CT · Oxford
OtherP00132026CT · Rail Road Medicare
Medicare PIND400015692CT
Other061561581CT · Cigna
Medicare UPINI04343
Other2V6380CT · Health Net
Other061561581CT · Health Ct
Other061561581CT · United Healthcare
Other367593CT · Wellcare Of Ct
Other010039938CT01CT · Anthem Bc/bs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ann R Datunashvili 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 ID2264423078
PECOS Enrollment IDI20040520000919
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.

Areas of Expertise CMS Part B claims 16

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.

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.
183 services102 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.
168 services97 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
130 services83 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
88 services88 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
81 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
73 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$44.89 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers22 claims22 services$10.11 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers21 claims21 services$5.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Geriatric Medicine)
874 HOWARD AVE, BASEMENT, ROOM 007
NEW HAVEN, CT 06519
Internal Medicine
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
Physician Assistant (Medical)
874 HOWARD AVE
NEW HAVEN, CT 06519
Physician Assistant (Medical)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE, BASEMENT - ROOM 007
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519

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 Ann Datunashvili's NPI number?

The NPI number for Ann Datunashvili is 1376544932. It was assigned to this individual provider in the NPPES registry on August 4, 2005.

Where is Ann Datunashvili located?

Ann Datunashvili practices at 874 Howard Ave, New Haven, CT 06519. The listed phone number is (203) 688-8200.

What is Ann Datunashvili's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Ann Datunashvili enrolled in Medicare?

Yes. Ann Datunashvili 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.

When was this NPI record last updated?

The NPPES record for Ann Datunashvili was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.