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DR. LIZA BAGASHVILI MD
NPI 1568206308
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 25, 2024PECOS Enrolled
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141(215) 456-6500 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Liza Bagashvili Md NPPES

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

DR. LIZA BAGASHVILI MD (NPI 1568206308) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568206308
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. LIZA BAGASHVILICredential: MD
Location Address5501 OLD YORK RD STE 1Philadelphia, PA 19141-3098
Mailing Address5501 Old York Rd Ste 1Philadelphia, PA 19141-3098 · (215) 456-6500
Phone(215) 456-6500
Sole ProprietorNo
Enumeration DateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1568206308 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.
5501 OLD YORK RD STE 1, Philadelphia, PA 19141
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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)

Dr. Liza Bagashvili Md 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 20

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

GREGORY JOHNSON MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. JULIE MINJU GANG DMD
Dentist (General Practice)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7130
ALINE A IANNONI DE MORAES
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8520
DR. BRIANA M CALDERON PARKER MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
ASHMIN SINGH
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6629
ALEXANDER JAMES RAZIN MD
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6500
NEETHU KANJINGAT NANDAN MBBS
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
EMILY ELIZABETH MESSINA
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 457-4444

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 Liza Bagashvili's NPI number?

The NPI number for Liza Bagashvili is 1568206308. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Liza Bagashvili located?

Liza Bagashvili practices at 5501 Old York Rd Ste 1, Philadelphia, PA 19141. The listed phone number is (215) 456-6500.

What is Liza Bagashvili's specialty?

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

Is Liza Bagashvili enrolled in Medicare?

Yes. Liza Bagashvili is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Liza Bagashvili was last updated on June 25, 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.