IVAN TSUTSKIRIDZE M.D.
NPI 1871510842
Internal Medicine in Philadelphia, PA
About Ivan Tsutskiridze M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVAN TSUTSKIRIDZE M.D. (NPI 1871510842) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD444322) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ivan Tsutskiridze M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show Ivan Tsutskiridze reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19111
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 clinicians in this Medicare group
Philadelphia, PA 19111
- Reassigned Medicare billing, Pennsylvania enrollment
- 447 clinicians in this Medicare group
Philadelphia, PA 19111
- Reassigned Medicare billing, Pennsylvania enrollment
- 646 clinicians in this Medicare group
Philadelphia, PA 19152
- Reassigned Medicare billing, Pennsylvania enrollment
- 53 clinicians in this Medicare group
East Norriton, PA 19401
- Reassigned Medicare billing, Pennsylvania enrollment
- 102 clinicians in this Medicare group
Ephrata, PA 17522
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,902 clinicians in this Medicare group
Harrisburg, PA 17109
- Reassigned Medicare billing, Pennsylvania enrollment
- 322 clinicians in this Medicare group
Somerset, PA 15501
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Hospitalist Medicine Physicians Of Pennsylvania PC
- 274 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
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 Ivan Tsutskiridze's NPI number?
The NPI number for Ivan Tsutskiridze is 1871510842. It was assigned to this individual provider in the NPPES registry on July 16, 2006.
Where is Ivan Tsutskiridze located?
Ivan Tsutskiridze practices at 333 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (215) 728-2844.
What is Ivan Tsutskiridze's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ivan Tsutskiridze enrolled in Medicare?
Yes. Ivan Tsutskiridze is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ivan Tsutskiridze's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Tsutskiridze reassigns Medicare benefits to 8 organizations: Temple Faculty Practice Plan, Inc (Philadelphia, PA), Temple Physicians Inc (Philadelphia, PA), Trinity Health Mid-Atlantic Medical Group (Philadelphia, PA), Inhospital Physicians Corp (Philadelphia, PA), Suburban Medical Group LLC (East Norriton, PA) and 3 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 Ivan Tsutskiridze'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 Ivan Tsutskiridze was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ivan Tsutskiridze, M.D. · NPI 1871510842
Internal Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 16, 2006.
## Identity
- **NPI:** 1871510842 (Entity type: Individual)
- **Enumerated:** July 16, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD444322 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 COTTMAN AVE, Philadelphia, PA 19111-2434
- **Phone:** (215) 728-2844 · **Fax:** (215) 214-1425
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Temple Faculty Practice Plan, Inc (NPI 1093298887, Philadelphia, PA); Temple Physicians Inc (NPI 1083888127, Philadelphia, PA); Trinity Health Mid-Atlantic Medical Group (NPI 1497312656, Philadelphia, PA); Inhospital Physicians Corp (NPI 1073971750, Philadelphia, PA); Suburban Medical Group LLC (NPI 1710355029, East Norriton, PA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2022
- **Other identifiers:** Other 3865276000 (PA); Medicaid 13141 (ND); Other 24668 (ND); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1871510842) · Data from the CMS NPPES public registry.