MAYA BERDZENISHVILI MD LLC
NPI 1477155158
Internal Medicine - Pulmonary Disease in Boston, MA

Active since November 09, 2020
220 COMMONWEALTH AVE APT 4, BOSTON, MA 02116(617) 262-6402(617) 262-6402 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Maya Berdzenishvili Md Llc NPPES

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

MAYA BERDZENISHVILI MD LLC (NPI 1477155158) is a healthcare organization registered as a pulmonary disease in Boston, Massachusetts and active in the NPI registry since November 2020. The organization lists Maya Berdzenishvili, Owner, as its authorized official.

NPPES Registry Identity

NPI1477155158
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameMAYA BERDZENISHVILI MD LLC
Location Address220 COMMONWEALTH AVE APT 4Boston, MA 02116-2510
Mailing Address220 Commonwealth Ave Apt 4Boston, MA 02116-2510 · (617) 262-6402 · Fax (617) 262-6402
Fax(617) 262-6402
Organization SubpartNo
Authorized OfficialMaya BerdzenishviliOwner · (617) 262-0462
Enumeration DateNovember 9, 2020
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1477155158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
220 COMMONWEALTH AVE APT 4, Boston, MA 02116

Other Names 1

Other NameMaya Berdzenishvili Md Llc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maya Berdzenishvili Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Maya Berdzenishvili MD LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Internal Medicine
NPI 1568557098
1575 CAMBRIDGE STREET
Cambridge, MA 02138
(617) 876-4344
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1598217564
11 NORTH ST
Stoneham, MA 02180
(603) 759-4559
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1184261075
107 HIGHLAND AVE
Malden, MA 02148
(617) 233-7971
✔ PECOS4.7 mi
Nurse Practitioner
NPI 1528788999
21 MARTIN RD
Lynn, MA 01904
(617) 460-3016
✔ PECOS12 mi
Nurse Practitioner
NPI 1841695640
IPC HOSPITALISTS OF NEW ENGLAND, PC 819 WORCESTER ST, SUITE 3
Springfield, MA 01151
(413) 543-6820
✔ PECOS77 mi

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

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 Maya Berdzenishvili MD LLC's NPI number?

The NPI number for Maya Berdzenishvili MD LLC is 1477155158. It was assigned to this organization in the NPPES registry on November 9, 2020.

Where is Maya Berdzenishvili MD LLC located?

Maya Berdzenishvili MD LLC is located at 220 Commonwealth Ave Apt 4, Boston, MA 02116. The listed phone number is (617) 262-6402.

What is Maya Berdzenishvili MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Maya Berdzenishvili MD LLC enrolled in Medicare?

Yes. Maya Berdzenishvili MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maya Berdzenishvili MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Maya Berdzenishvili MD LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Maya Berdzenishvili MD LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Maya Berdzenishvili MD LLC 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.

When was this NPI record last updated?

The NPPES record for Maya Berdzenishvili MD LLC was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.