IRMA DIASAMIDZE
NPI 1699393579
Nurse Practitioner - Family in New Hyde Park, NY

Q: What is Irma Diasamidze's NPI number?

The NPI number for Irma Diasamidze is 1699393579. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Q: What is Irma Diasamidze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Irma Diasamidze was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 08, 2020PECOS Enrolled

3000 MARCUS AVE STE 2W15, NEW HYDE PARK, NY 11042(855) 201-4988 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Irma Diasamidze NPPES

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

IRMA DIASAMIDZE (NPI 1699393579) is an individual family provider in New Hyde Park, New York, licensed in New York (345624) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699393579

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIRMA DIASAMIDZE

Location Address3000 MARCUS AVE STE 2W15New Hyde Park, NY 11042-1005

Mailing Address2550 Independence Ave Apt 5hBronx, NY 10463-6255

Phone(855) 201-4988

Sole ProprietorNo

Enumeration DateJuly 8, 2020

NPPES CertifiedJuly 8, 2020

✔ NPI 1699393579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 345624

3000 MARCUS AVE STE 2W15, New Hyde Park, NY 11042

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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)

Irma Diasamidze 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

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.

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.

MISS CASSANDRA NICHOLE ANDERSON FNP

Nurse Practitioner (Family)