KAKHA GUJABIDZE
NPI 1922744135
Hospitalist in New Haven, CT
About Kakha Gujabidze NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAKHA GUJABIDZE (NPI 1922744135) is an individual hospitalist provider in New Haven, Connecticut, licensed in Connecticut (80122) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kakha Gujabidze 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.
Medicare Billing Reassignment
Medicare enrollment records show Kakha Gujabidze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06510 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.
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
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 Kakha Gujabidze's NPI number?
The NPI number for Kakha Gujabidze is 1922744135. It was assigned to this individual provider in the NPPES registry on May 10, 2022.
Where is Kakha Gujabidze located?
Kakha Gujabidze practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-1734.
What is Kakha Gujabidze's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Kakha Gujabidze enrolled in Medicare?
Yes. Kakha Gujabidze 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.
Which organization bills Medicare for Kakha Gujabidze's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kakha Gujabidze reassigns Medicare benefits to Mill Hill Medical Consultants Inc (New Haven, CT). The 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 Kakha Gujabidze'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 Kakha Gujabidze was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kakha Gujabidze · NPI 1922744135
Hospitalist physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since May 10, 2022.
## Identity
- **NPI:** 1922744135 (Entity type: Individual)
- **Enumerated:** May 10, 2022
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 80122 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 YORK ST, New Haven, CT 06510-3220
- **Phone:** (203) 688-1734
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922744135) · Data from the CMS NPPES public registry.