OMARI CHUBINIDZE MEDICAL PC
NPI 1790390292
Family Medicine in Hicksville, NY
About Omari Chubinidze Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMARI CHUBINIDZE MEDICAL PC (NPI 1790390292) is a healthcare organization registered as a family medicine in Hicksville, New York and active in the NPI registry since September 2020. The organization lists Omari Chubinidze, 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)
Omari Chubinidze Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Omari Chubinidze Medical PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
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 Omari Chubinidze Medical PC's NPI number?
The NPI number for Omari Chubinidze Medical PC is 1790390292. It was assigned to this organization in the NPPES registry on September 11, 2020.
Where is Omari Chubinidze Medical PC located?
Omari Chubinidze Medical PC is located at 100 Newbridge Rd Ste 6, Hicksville, NY 11801. The listed phone number is (347) 599-0633.
What is Omari Chubinidze Medical PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Omari Chubinidze Medical PC enrolled in Medicare?
Yes. Omari Chubinidze Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Omari Chubinidze Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Omari Chubinidze Medical PC, in Cardiovascular Disease (Cardiology), Diagnostic Radiology, Family Practice and Neurology. 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 Omari Chubinidze Medical PC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Omari Chubinidze Medical Pc · NPI 1790390292
Family Medicine organization in Hicksville, New York. Organization record, active in the CMS NPPES registry since September 11, 2020.
## Identity
- **NPI:** 1790390292 (Entity type: Organization)
- **Enumerated:** September 11, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Omari Chubinidze, OWNER
## Practice location
- **Address:** 100 NEWBRIDGE RD STE 6, Hicksville, NY 11801-3948
- **Phone:** (347) 599-0633
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (2), Diagnostic Radiology (2), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790390292) · Data from the CMS NPPES public registry.