NANA KUTATELADZE M.D.
NPI 1720264914
Internal Medicine in Newark, DE
About Nana Kutateladze M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANA KUTATELADZE M.D. (NPI 1720264914) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0008503) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Nana Kutateladze 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nana Kutateladze reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland enrollment
- 67 clinicians in this Medicare group
Annapolis, MD 21401
- Reassigned Medicare billing, Maryland enrollment
- 73 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Maryland Medical Center
Acute Care Hospitals · Baltimore, MDLuminis Health Anne Arundel Medical Center, Inc
Acute Care Hospitals · Annapolis, MDUniversity Of MD Baltimore Washington Medical Center
Acute Care Hospitals · Glen Burnie, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NEWARK, DE 19713
NEWARK, DE 19713
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 Nana Kutateladze's NPI number?
The NPI number for Nana Kutateladze is 1720264914. It was assigned to this individual provider in the NPPES registry on January 17, 2008.
Where is Nana Kutateladze located?
Nana Kutateladze practices at 111 Continental Dr Suite 406, Newark, DE 19713. The listed phone number is (302) 984-2577.
What is Nana Kutateladze's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nana Kutateladze enrolled in Medicare?
Yes. Nana Kutateladze 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 Nana Kutateladze's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nana Kutateladze reassigns Medicare benefits to 2 organizations: Mdics At Bwmc LLC (Glen Burnie, MD) and Mdics At Anne Arundel LLC (Annapolis, MD). 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 Nana Kutateladze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nana Kutateladze accept?
Health plans from AmeriHealth Caritas Next list Nana Kutateladze as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Nana Kutateladze affiliated with any hospitals?
According to CMS data, Nana Kutateladze is affiliated with University Of Maryland Medical Center, Luminis Health Anne Arundel Medical Center, Inc and University Of MD Baltimore Washington Medical Center.
When was this NPI record last updated?
The NPPES record for Nana Kutateladze was last updated on October 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Nana Kutateladze, M.D. · NPI 1720264914
Internal Medicine physician in Newark, Delaware. Individual provider, active in the CMS NPPES registry since January 17, 2008.
## Identity
- **NPI:** 1720264914 (Entity type: Individual)
- **Enumerated:** January 17, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** C1-0008503 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 CONTINENTAL DR, SUITE 406, Newark, DE 19713-4306
- **Phone:** (302) 984-2577 · **Fax:** (302) 368-1271
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mdics At Bwmc LLC (NPI 1306131578, Glen Burnie, MD); Mdics At Anne Arundel LLC (NPI 1427343664, Annapolis, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** October 29, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1720264914) · Data from the CMS NPPES public registry.