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MARINE PETRIASHVILI M.D.
NPI 1629168448
Anesthesiology in Brooklyn, NY

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
760 BROADWAY, BROOKLYN, NY 11206(718) 963-8496 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marine Petriashvili M.d. NPPES

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

MARINE PETRIASHVILI M.D. (NPI 1629168448) is an individual anesthesiology provider in Brooklyn, New York, licensed in New York (271189) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1629168448
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameMARINE PETRIASHVILICredential: M.D.
Location Address760 BROADWAYBrooklyn, NY 11206-5317
Mailing Address3531 85th St Apt 3jJackson Heights, NY 11372-5521 · (718) 803-8509
Phone(718) 963-8496
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 13, 2006
Last NPPES UpdateSeptember 18, 2018
✔ NPI 1629168448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 271189
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
760 BROADWAY, Brooklyn, NY 11206
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marine Petriashvili M.d. 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 ID9436418829
PECOS Enrollment IDI20181120003163
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Marine Petriashvili reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midtown Medical, PLLC
3.6 mi
Anesthesiology
345 E 37TH ST, SUITE 304
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1699073007 (516) 677-0004
New York Medical And Diagnostic Services PC
7.4 mi
Anatomic Pathology
2315 86TH ST FL 1
Brooklyn, NY 11214
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1639605991 (718) 333-0093
Triborough Gi PLLC
7.9 mi
Gastroenterology
1517 VOORHIES AVE
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group
NPI 1255711339 (718) 332-0600

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

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.

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

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 Marine Petriashvili's NPI number?

The NPI number for Marine Petriashvili is 1629168448. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Marine Petriashvili located?

Marine Petriashvili practices at 760 Broadway, Brooklyn, NY 11206. The listed phone number is (718) 963-8496.

What is Marine Petriashvili's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Marine Petriashvili enrolled in Medicare?

Yes. Marine Petriashvili 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.

Which organizations bill Medicare for Marine Petriashvili's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marine Petriashvili reassigns Medicare benefits to 3 organizations: Midtown Medical, PLLC (New York, NY), New York Medical And Diagnostic Services PC (Brooklyn, NY) and Triborough Gi PLLC (Brooklyn, NY). Each 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 Marine Petriashvili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marine Petriashvili was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.