GRIGOL ADEISHVILI MEDICAL PLLC
NPI 1720897184
Obstetrics & Gynecology - Obstetrics in Brooklyn, NY
About Grigol Adeishvili Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRIGOL ADEISHVILI MEDICAL PLLC (NPI 1720897184) is a healthcare organization registered as an obstetrics in Brooklyn, New York and active in the NPI registry since December 2024. The organization lists Grigol Adeishvili,, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grigol Adeishvili Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Grigol Adeishvili Medical PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Grigol Adeishvili Medical PLLC's NPI number?
The NPI number for Grigol Adeishvili Medical PLLC is 1720897184. It was assigned to this organization in the NPPES registry on December 31, 2024.
Where is Grigol Adeishvili Medical PLLC located?
Grigol Adeishvili Medical PLLC is located at 719 Ocean View Ave, Brooklyn, NY 11235. The listed phone number is (347) 491-3100.
What is Grigol Adeishvili Medical PLLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.
Is Grigol Adeishvili Medical PLLC enrolled in Medicare?
Yes. Grigol Adeishvili Medical PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grigol Adeishvili Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Grigol Adeishvili Medical PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Grigol Adeishvili Medical PLLC was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Grigol Adeishvili Medical Pllc · NPI 1720897184
Obstetrics organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since December 31, 2024.
## Identity
- **NPI:** 1720897184 (Entity type: Organization)
- **Enumerated:** December 31, 2024
- **Primary specialty:** Obstetrics & Gynecology - Obstetrics · taxonomy 207VX0000X
- **Organization subpart:** No
- **Authorized official:** Grigol Adeishvili,, OWNER
## Practice location
- **Address:** 719 OCEAN VIEW AVE, Brooklyn, NY 11235-6317
- **Phone:** (347) 491-3100 · **Fax:** (347) 491-3200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720897184) · Data from the CMS NPPES public registry.