DR. GURAM YAKOBASHVILI DDS
NPI 1720186745
Dentist - General Practice in Bronx, NY

Q: What is Guram Yakobashvili's NPI number?

The NPI number for Guram Yakobashvili is 1720186745. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Guram Yakobashvili's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 21, 2006PECOS Enrolled

293 E 149TH ST, BRONX, NY 10451(646) 404-5005(646) 404-5006 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Guram Yakobashvili Dds NPPES

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

DR. GURAM YAKOBASHVILI DDS (NPI 1720186745) is an individual general practice provider in Bronx, New York, licensed in New York (0558311) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720186745

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GURAM YAKOBASHVILICredential: DDS

Location Address293 E 149TH STBronx, NY 10451-5601

Mailing Address293 E 149th StBronx, NY 10451-5601 · (646) 404-5005 · Fax (646) 404-5006

Phone(646) 404-5005

Fax(646) 404-5006

Sole ProprietorNo

Enumeration DateSeptember 21, 2006

Last NPPES UpdateDecember 26, 2012

✔ NPI 1720186745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in NY · 0558311✔ Licensed in NJ · DI20280

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

293 E 149TH ST, Bronx, NY 10451

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Other Identifiers 2

Medicaid8444706NJ

Medicaid03395140NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Guram Yakobashvili Dds 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 10451 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

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OCTO-DENTAL PC

Dentist