MARIAM M KIRVALIDZE DO
NPI 1508353517
Family Medicine in East Setauket, NY

Active since April 16, 2018PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
181 N BELLE MEAD RD STE 2, EAST SETAUKET, NY 11733(631) 444-5858(631) 444-1899 Get Directions Write a Review

NPPES record last updated: September 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2022, Jan 14, 2022, Jun 28, 2021 and 1 more (4 updates tracked since 2018).

About Mariam M Kirvalidze Do NPPES

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

MARIAM M KIRVALIDZE DO (NPI 1508353517) is an individual family medicine provider in East Setauket, New York, licensed in New York (310737) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2018).

NPPES Registry Identity

NPI1508353517
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIAM M KIRVALIDZECredential: DO
Location Address181 N BELLE MEAD RD STE 2East Setauket, NY 11733-3495
Mailing Address1033 Northern BlvdRoslyn, NY 11576-1502 · (516) 473-0782 · Fax (516) 253-2150
Fax(631) 444-1899
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2018
Enumeration DateApril 16, 2018
Last NPPES UpdateSeptember 25, 20224 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
NPI 1508353517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 310737
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
181 N BELLE MEAD RD STE 2, East Setauket, NY 11733

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

Mariam M Kirvalidze Do 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 ID1355695966
PECOS Enrollment IDI20210630001365
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 9

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.
202 services116 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.
31 services28 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.
19 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
14 services14 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Family Medicine
181 N BELLE MEAD RD STE 2
EAST SETAUKET, NY 11733
Family Medicine
181 N BELLE MEAD RD STE 2
EAST SETAUKET, NY 11733
Preventive Medicine (Public Health & General Preventive Medicine)
181 N BELLE MEAD RD STE 2
SETAUKET, NY 11733
Nurse Practitioner
181 N BELLE MEAD RD STE 2
EAST SETAUKET, NY 11733

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 Mariam Kirvalidze's NPI number?

The NPI number for Mariam Kirvalidze is 1508353517. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Mariam Kirvalidze located?

Mariam Kirvalidze practices at 181 N Belle Mead Rd Ste 2, East Setauket, NY 11733. The listed phone number is (631) 444-5858.

What is Mariam Kirvalidze's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mariam Kirvalidze enrolled in Medicare?

Yes. Mariam Kirvalidze 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.

Is Mariam Kirvalidze affiliated with any hospitals?

According to CMS data, Mariam Kirvalidze is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Mariam Kirvalidze was last updated on September 25, 2022. 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.