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TAMARA I SHASHIASHVILI D.O.
NPI 1649403767
Internal Medicine in West Babylon, NY

Active since August 24, 2009PECOS EnrolledAccepts Medicare Assignment
12 KENMORE ST, WEST BABYLON, NY 11704(516) 813-7556 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tamara I Shashiashvili D.o. NPPES

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

TAMARA I SHASHIASHVILI D.O. (NPI 1649403767) is an individual internal medicine provider in West Babylon, New York, licensed in New York (266569) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2008).

NPPES Registry Identity

NPI1649403767
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTAMARA I SHASHIASHVILICredential: D.O.
Location Address12 KENMORE STWest Babylon, NY 11704-8112
Mailing Address12 Kenmore StWest Babylon, NY 11704-8112 · (516) 813-7556
Phone(516) 813-7556
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2008
Enumeration DateAugust 24, 2009
Last NPPES UpdateApril 25, 2016
✔ NPI 1649403767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 266569
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12 KENMORE ST, West Babylon, NY 11704
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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 and accepts Medicare assignment

Tamara I Shashiashvili D.o. 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 ID3577715499
PECOS Enrollment IDI20121128000553
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
739 services280 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
145 services136 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11704 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

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 Tamara Shashiashvili's NPI number?

The NPI number for Tamara Shashiashvili is 1649403767. It was assigned to this individual provider in the NPPES registry on August 24, 2009.

Where is Tamara Shashiashvili located?

Tamara Shashiashvili practices at 12 Kenmore St, West Babylon, NY 11704. The listed phone number is (516) 813-7556.

What is Tamara Shashiashvili's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tamara Shashiashvili enrolled in Medicare?

Yes. Tamara Shashiashvili 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 Tamara Shashiashvili affiliated with any hospitals?

According to CMS data, Tamara Shashiashvili is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Tamara Shashiashvili was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.