DR. SHOTA GURCHUMELIDZE M.D.
NPI 1821284449
Internal Medicine in La Mesa, CA

Active since September 18, 2007PECOS EnrolledAccepts Medicare Assignment
84/100
CMS Quality Rating
8875 LA MESA BLVD STE C, LA MESA, CA 91942(619) 668-8100(619) 667-2688 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shota Gurchumelidze M.d. NPPES

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

DR. SHOTA GURCHUMELIDZE M.D. (NPI 1821284449) is an individual internal medicine provider in La Mesa, California, licensed in California (A-101612) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1821284449
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHOTA GURCHUMELIDZECredential: M.D.
Location Address8875 LA MESA BLVD STE CLa Mesa, CA 91942-5434
Mailing Address11848 Miro CirSan Diego, CA 92131-3323 · (858) 997-3161
Fax(619) 667-2688
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 18, 2007
Last NPPES UpdateFebruary 1, 2018
NPI 1821284449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A-101612
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

8875 LA MESA BLVD STE C, La Mesa, CA 91942

Other Names 1

Professional Name (2)Dr. Shota P Gurtch M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shota Gurchumelidze 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.

PECOS PAC ID941381628
PECOS Enrollment IDI20080118000669
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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
95 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.27
Promoting Interoperability100
Improvement Activities40
Cost57.88

Other Providers at the Same Location NPPES 2

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

Internal Medicine
8875 LA MESA BLVD STE C
LA MESA, CA 91942
Clinic/Center (Primary Care)
8875 LA MESA BLVD STE C
LA MESA, CA 91942

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 Shota Gurchumelidze's NPI number?

The NPI number for Shota Gurchumelidze is 1821284449. It was assigned to this individual provider in the NPPES registry on September 18, 2007. The provider is also known as Dr. Shota P Gurtch M.D..

Where is Shota Gurchumelidze located?

Shota Gurchumelidze practices at 8875 La Mesa Blvd Ste C, La Mesa, CA 91942. The listed phone number is (619) 668-8100.

What is Shota Gurchumelidze's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shota Gurchumelidze enrolled in Medicare?

Yes. Shota Gurchumelidze 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.

When was this NPI record last updated?

The NPPES record for Shota Gurchumelidze was last updated on February 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.