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IRAKLY PATARAIA DPM
NPI 1780051490
Podiatrist - Foot & Ankle Surgery in Hallandale Beach, FL

Active since August 28, 2015PECOS Enrolled
2500 E HALLANDALE BEACH BLVD STE 811, HALLANDALE BEACH, FL 33009(224) 616-1952 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2026, Jul 8, 2024, Jul 5, 2024 and 1 more (4 updates tracked since 2021).

About Irakly Pataraia Dpm NPPES

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

IRAKLY PATARAIA DPM (NPI 1780051490) is an individual foot & ankle surgery provider in Hallandale Beach, Florida, licensed in Florida (PO4577) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New York College Of Podiatric Medicine (2021).

NPPES Registry Identity

NPI1780051490
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameIRAKLY PATARAIACredential: DPM
Location Address2500 E HALLANDALE BEACH BLVD STE 811Hallandale Beach, FL 33009-4841
Mailing Address4646 N Marine DrChicago, IL 60640-5759 · (773) 878-8700
Phone(224) 616-1952
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2021
Enumeration DateAugust 28, 2015
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1780051490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO4577
Also ListedPodiatristTaxonomy 213E00000X · License 135001129 (IL), 3600952 (NY)
2500 E HALLANDALE BEACH BLVD STE 811, Hallandale Beach, FL 33009
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11445 Shermer Rd Apt 5ANorthbrook, IL 60062-5325 · Phone (815) 463-0098 ext. 1001 · Fax (815) 462-4955
Location 23514 Mermaid Ave Ste 4Brooklyn, NY 11224-1510 · Phone (224) 616-1952

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irakly Pataraia Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012312580
PECOS Enrollment IDI20240718002945, I20260409001338
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Irakly Pataraia reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elite 23 Holding Group LLC
3.9 mi
Multi-Specialty
202 SUNNY ISLES BLVD STE 8A
Sunny Isles Beach, FL 33160
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1598592537 (305) 523-9787
Elite Podiatry LLC
5.4 mi
Podiatrist
3381 N 41ST CT
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 17 clinicians in this Medicare group
NPI 1700374667 (818) 317-4127
Pedirite Medical Fl LLC
212 mi
General Practice
60 N HIGHWAY 17 92
Debary, FL 32713
  • Reassigned Medicare billing, Florida enrollment
  • 39 clinicians in this Medicare group
NPI 1750962023 (212) 764-0008
Medical Director Services PC
881 mi
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
NPI 1871955807 (212) 734-6621
Podiatry Company LLC
899 mi
Podiatrist
520 GLENBURN AVE
Cambridge, MD 21613
  • Reassigned Medicare billing, Florida enrollment
  • 16 clinicians in this Medicare group
NPI 1457931610 (212) 734-6621
Total Care Podiatry PC
1,065 mi
Foot Surgery
3514 MERMAID AVE, SUITE 004
Brooklyn, NY 11224
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group
NPI 1194095141 (917) 723-1128
Rite Medical PLLC
1,155 mi
General Practice
21 FERNCLIFF DR
Rhinebeck, NY 12572
  • Reassigned Medicare billing, New York enrollment
  • 39 clinicians in this Medicare group
NPI 1114536034 (212) 764-0008

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 8

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.

Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
138 services127 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
134 services127 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
101 services88 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
91 services90 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
22 services22 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
20 services20 patients

Other Providers at the Same Location NPPES 4

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

PODIRA LLC
Podiatrist (Foot & Ankle Surgery)
2500 E HALLANDALE BEACH BLVD STE 811
HALLANDALE BEACH, FL 33009
Broward County (630) 303-7184
VITAS HEALTH INC
Internal Medicine (Infectious Disease)
2500 E HALLANDALE BEACH BLVD STE 811
HALLANDALE BEACH, FL 33009
Broward County (561) 855-4678
MR. VLADIMIR ZAKHAROV AP
Acupuncturist
2500 E HALLANDALE BEACH BLVD STE 811
HALLANDALE BEACH, FL 33009
Broward County (786) 287-8285
CHRISTIAN M HEESCH M.D.
Internal Medicine (Cardiovascular Disease)
2500 E HALLANDALE BEACH BLVD STE 811
HALLANDALE BEACH, FL 33009
Broward County (954) 534-7769

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 Irakly Pataraia's NPI number?

The NPI number for Irakly Pataraia is 1780051490. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Where is Irakly Pataraia located?

Irakly Pataraia practices at 2500 E Hallandale Beach Blvd Ste 811, Hallandale Beach, FL 33009. The listed phone number is (224) 616-1952.

What is Irakly Pataraia's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Irakly Pataraia enrolled in Medicare?

Yes. Irakly Pataraia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Irakly Pataraia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irakly Pataraia reassigns Medicare benefits to 7 organizations: Elite 23 Holding Group LLC (Sunny Isles Beach, FL), Elite Podiatry LLC (Hollywood, FL), Pedirite Medical Fl LLC (Debary, FL), Medical Director Services PC (Princess Anne, MD), Podiatry Company LLC (Cambridge, MD) and 2 more organizations, listed in the Medicare section above. 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 Irakly Pataraia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Irakly Pataraia was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.