GIORGI KHARDZIANI MD
NPI 1619505682
Student in an Organized Health Care Education/Training Program in Summit, NJ

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
99 BEAUVOIR AVE, SUMMIT, NJ 07901(908) 522-2000 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Giorgi Khardziani Md NPPES

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

GIORGI KHARDZIANI MD (NPI 1619505682) is an individual student in an organized health care education/training program in Summit, New Jersey, licensed in (0) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619505682
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGIORGI KHARDZIANICredential: MD
Location Address99 BEAUVOIR AVESummit, NJ 07901-3533
Mailing Address99 Beauvoir AveSummit, NJ 07901-3533
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 27, 2020
NPPES CertifiedMarch 27, 2020
NPI 1619505682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed · 0
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.

99 BEAUVOIR AVE, Summit, NJ 07901

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

Giorgi Khardziani Md 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 ID5597260562
PECOS Enrollment IDI20250923001173
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.

Family Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Student in an Organized Health Care Education/Training Program
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Nurse Practitioner (Adult Health)
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Internal Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Hospitalist
99 BEAUVOIR AVE
SUMMIT, NJ 07901
General Acute Care Hospital
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Dietitian, Registered
99 BEAUVOIR AVE, BOX 243
SUMMIT, NJ 07901
Radiology (Diagnostic Radiology)
99 BEAUVOIR AVE
SUMMIT, NJ 07901

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 Giorgi Khardziani's NPI number?

The NPI number for Giorgi Khardziani is 1619505682. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Giorgi Khardziani located?

Giorgi Khardziani practices at 99 Beauvoir Ave, Summit, NJ 07901. The listed phone number is (908) 522-2000.

What is Giorgi Khardziani's specialty?

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

Is Giorgi Khardziani enrolled in Medicare?

Yes. Giorgi Khardziani 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 Giorgi Khardziani was last updated on March 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.