LELA OKROMELIDZE MD
NPI 1588368781
Radiology - Diagnostic Radiology in Jacksonville, FL
About Lela Okromelidze Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LELA OKROMELIDZE MD (NPI 1588368781) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME175738) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lela Okromelidze Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lela Okromelidze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32224
- Reassigned Medicare billing, Florida enrollment
- 1,828 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic
Acute Care Hospitals · Jacksonville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Lela Okromelidze's NPI number?
The NPI number for Lela Okromelidze is 1588368781. It was assigned to this individual provider in the NPPES registry on March 30, 2023.
Where is Lela Okromelidze located?
Lela Okromelidze practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Lela Okromelidze's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Lela Okromelidze enrolled in Medicare?
Yes. Lela Okromelidze is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lela Okromelidze's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lela Okromelidze reassigns Medicare benefits to Mayo Clinic Jacksonville (Jacksonville, FL). The 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 Lela Okromelidze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lela Okromelidze affiliated with any hospitals?
According to CMS data, Lela Okromelidze is affiliated with Mayo Clinic.
When was this NPI record last updated?
The NPPES record for Lela Okromelidze was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Lela Okromelidze, MD · NPI 1588368781
Diagnostic Radiology physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 30, 2023.
## Identity
- **NPI:** 1588368781 (Entity type: Individual)
- **Enumerated:** March 30, 2023
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** ME175738 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mayo Clinic Jacksonville (NPI 1174143986, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1588368781) · Data from the CMS NPPES public registry.